Intake Forms
Consent Forms
- (Adult) Informed consent for treatment
- Parental consent for treatment of a minor
- Acknowledgment of receipt of privacy practices
- Privacy Practices
- Continued care
- Disability
- Drug testing
- Electronic Communication
- Marijuana and stimulants
- Patient portal messaging feature
- Telemedicine Release
- Non-custodial parent
- Records Release
- Self-pay agreement
- Self-pay good faith estimate
- Payment Auth (self-pay)
Referrals from a Provider or Clinic
Fortis Behavioral Health is committed to providing compassionate, integrative mental health services tailored to the unique wellness journey of each individual we serve.
Contact Details
- 220 Wintergreen Dr., Ste. C Lumberton, NC 28358
- admin@fortisbehavioralhealthnc.com
- Monday - Thursday: 9 AM-5 PM Friday: 9 AM-12 PM
- (910) 536-1719
- (910) 668-8048
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