IMPORTANT INFORMATION FOR FILLING OUT ONLINE FORMS:
Please read these documents in their entirety. It is imperative that you fill in all information requested to best serve your needs at Hampton Mental Health Associates (HMHA).
There are numerous signatures required during this process. Please understand that this is necessary to make sure that your electronic signature is on the proper pages of your chart in our office. In addition, your name, address, and telephone numbers are requested several times as many of the forms are needed for different purposes in the office. It is important that you fill them out whenever requested. If you have a Personal Representative such as a Healthcare Power of Attorney, Guardian or Court appointed Guardian, or if you are the parent, please indicate the person’s name where it asks for the name of the Personal Representative.
We hope you find your experience at HMHA an enjoyable one and that the needs that you are seeking solutions for are handled in the best way possible!
Thank you for visiting our online forms submission!