Patient Entry Forms We encourage those who visit us to make an honest attempt to get the most out of their time within our facility. Upon your entry into The Bella Vita, the required paperwork alone can take a substantial amount of time, which cuts into your time with the doctor, and may offset the actual time of your appointment. For this reason, we’ve made our patient entry forms available online, via our website, for you to print out and complete prior to your arrival at our office. Completing these forms in advance will cut admission time by more than half, and allow us to immediately respond to what matters upon your arrival… your well-being.

Please, find the description that most closely matches the reason you’ll be seeing us, and print the appropriate forms. Complete all forms to the best of your ability, prior to your visit with us. Sign all pages that require signature, and initial all section of each page that require initialing.

Eating Disorder Packet

If you are have an eating disorder and are enrolling in one of our outpatient programs, you will require the forms found in this section. It’s important to read these thoroughly before signing, and complete them prior to your visit. Download


Counseling Services

If you are enrolled in any of The Bella Vita’s individual, couple, or group therapy, or you are seeking a psychiatric evaluation, you’ll need the forms found in this section. Please, read these forms thoroughly, and complete them to the best of your ability. Download