Please note: These forms are in PDF format and can be displayed with Acrobat Reader. If you do not have Acrobat Reader click on the following link for a free download: http://www.adobe.com/products/acrobat/readstep2.html
NTI Forms
For immediate access and download click on the following links:
Forms required for use by partnering hospitals for Mental Health Consultations:
Mental Health Consultation Checklist
Consent to Participate in Mental Health Consultation via Videoconferencing Form
Mental Health Consultation Fax Cover Sheet
Mental Health Consultation Survey For Patients
ED Staff Member Mental Health Consultation Survey
Forms required for NHS clinicians to use for Mental Health Consultations provided to patients of local critical access hospitals:
