TMH Forms
TMH Financial Policy
This document states the policies related to the regulation, supervision, and oversight of the financial and payment systems.
Patient Rights & Responsibilities
A patient has the right to privacy with respect to his or her medical condition. A patient's care and treatment will be discussed only with those who need to know.
IM+CANS AUTHORIZATION FORM
This document authorizes The Illinois Department of Healthcare and Family Services to provide information to TMH Behavioral Services regarding any prior IM+CANS documentation to ensure clients receive consistent and coordinated healthcare services.
**For question #4 please date it 5 years out from the signing date.
ROI Form
Release of Information (ROI) is a document that allows our clients to authorize TMH to share their protected health information (PHI) with a third party. It grants permission for specific types of information, such as medical records, or other health-related data, to be disclosed for specific purposes.