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HomePatient Forms & Policies

Patient Forms and Policies

Review public practice documents, prepare for a telehealth appointment, and learn which forms are completed only through the designated secure patient system.

Aura Integra Behavioral Health provides scheduled in-person psychiatric and addiction care in Worcester and secure telehealth across Massachusetts. Whether the practice is the right fit is decided together after an evaluation.

Choose what you need to do

The public website explains the process. Patient-specific information, signatures, records, and clinical questionnaires remain in the secure system.

Before a visit

Prepare for your appointment

Use a practical checklist for timing, Massachusetts location, technology, identification, medications, pharmacy details, and requested records.

View the preparation checklist
Read online

Review public documents

Read fees, office policies, privacy protections, Good Faith Estimate rights, nondiscrimination information, and crisis resources.

Browse public documents
Complete securely

Patient forms

Request PracticeQ portal access or sign in to your account. Our practice will tell you which intake and consent documents to complete.

Open patient access and intake guidance
Scheduling

Manage an appointment

Start with a message, review rescheduling expectations, or contact the practice with a nonclinical administrative question.

View scheduling options

Before your telehealth appointment

Follow the secure instructions provided with your appointment. A scheduling confirmation or completed form does not guarantee clinical acceptance, a diagnosis, medication, or a prescription.

  • Confirm the exact date, start time, and Eastern Time designation.
  • Plan to be physically located in Massachusetts for the visit.
  • Choose a private setting and test your camera, microphone, and internet.
  • Have a photo ID available if requested.
  • Prepare an accurate medication list and preferred pharmacy information.
  • Gather only the records specifically requested for your evaluation.
  • Complete assigned forms only through the designated secure system.
  • Use the confirmed scheduling route if you need to request a change.

Review before care begins

These pages are provided for reading and preparation. Viewing a document does not create a patient-provider relationship or replace any signature or acknowledgment required through the secure system.

Fees and Office Policies

Review current self-pay rates, payment expectations, cancellations, late arrivals, medication renewals, controlled-medication policies, and communication boundaries.

Read fees and office policies

Notice of Privacy Practices

Read how health information may be used and disclosed, patient rights, Massachusetts protections, and special protections for substance use disorder records.

Read the privacy notice

Good Faith Estimate Rights

Review information for uninsured and self-pay patients. Any patient-specific estimate will be provided through an appropriate secure process.

Review Good Faith Estimate information

Nondiscrimination and Language Assistance

Review nondiscrimination protections and how qualified language assistance can be arranged at no cost when required by law.

Read the nondiscrimination notice

Crisis and Emergency Resources

Find 988, the Massachusetts Behavioral Health Help Line, emergency guidance, and other crisis resources that are available now.

View crisis resources

Website Terms of Use

Review the limits of website information, educational content, external links, and the public website’s nonclinical role.

Read the website terms

Forms selected for your care

Request portal access or use the secure invitation from our practice. Not every person receives every form. The forms assigned depend on age, service, payment arrangement, consent needs, and the information required for the evaluation.

Start with the appropriate paperwork

Use the PracticeQ portal or the secure form invitation provided by our practice. We will identify whether the full or brief intake is appropriate and provide the applicable consent documents. Please do not complete both versions unless requested.

Reviewing public policies is not the same as signing an assigned consent. Portal registration and completed forms do not schedule an appointment or guarantee acceptance for care. Contact us first about paperwork for anyone under 18.

View intake and consent guidance

Forms that may be requested securely

  • Registration, contact, and demographic information
  • Consent for evaluation, treatment, and telehealth
  • Communication preferences and patient-system acknowledgment
  • Medical, psychiatric, substance use, medication, and allergy history
  • Day-of-visit location and emergency contact information
  • Good Faith Estimate acknowledgment when applicable
  • Release of information when coordination or records are needed
  • Age-specific or service-specific forms when clinically relevant

Manage the next step

Use the secure scheduling route to review current availability. For self-pay, language-access, form-access, or other nonclinical administrative questions, call or text 508-978-6455. Do not include medical information in an ordinary text or email.

A requested appointment change is not final until a new date and time are confirmed. Scheduled in-person and telehealth availability is confirmed directly with the practice.