CLIENT FORMS

Adult Outpatient Forms

Are you new to CLR? We look forward to supporting you!


Please take a few minutes prior to your first visit to fill out these forms:


  • Admission Form
  • Consent to Treatment
  • GAIN-SS
  • Patient Health Questionnaire-9
  • Courtesy Agreement


The forms are in a fillable PDF.

Advance Directives

This form lets you state what you want to happen if your mental health problems become so severe that you need help and treatments from others.



For example, if your mental health problems become severe enough that your judgment is impaired, or you are unable to say what you want, you can:


  • let your decision makers and care providers know what medical care and mental health treatments have worked for you in the past and


  • let them know what types of treatment or care you would like to get


Source: WashingtonLawHelp.org


To learn more about advance directives, visit this Washington Healthcare Authority page.

Children's Outpatient Forms

Is a child in your care is starting services with CLR? Our outpatient team looks forward to meeting them and providing support.


Please take a few minutes prior to your first visit to fill out these forms:


  • Admission Form
  • Pediatric Symptom Checklist 17


The forms are in a fillable PDF.

Release of Information Form

A Release of Information (ROI) gives Comprehensive Life Resources permission to send or receive information or talk to people you choose about your services. This allows us to coordinate your care. We will need one Release of Information for each person or organization you authorize us to communicate with.