Forms

Notice of Non-Discrimination (English and Spanish)
Notice of Privacy Practice and Consent (English) (Spanish)
Authorization for Internal Exchange of SUD Information (English) (Spanish)
Authorization for External Exchange of Information (English) (Spanish)
Complaint form for clients on Human Rights, Privacy or Services (English) (Spanish)

Behavioral Health Network, Inc.

417 Liberty Street | Springfield, MA 01104
(413) 301-9355