All of these forms are in PDF format. The Adobe Reader program is already installed on most computers. If it is not already installed on your computer, click HERE to obtain the free program.
If you have any problem opening or printing our forms,
CALL/EMAIL/'SEND US A SECURE MESSAGE' and our office will mail them to you
MAP AND DIRECTIONS Office location AFTER FEBRUARY 1, 2017
THERAPEUTIC SERVICES ONLY
Call our office to provide your information and schedule an appointment. After you have set up services and scheduled an appointment, complete ONE of these packets. Adults and adolescents may bring the completed packet to the first appointment. The parents of children under 14 years must return the completed packet to our office BEFORE the child's first appointment:
HIPAA NOTICE Print out this form and keep for your own information (optional)
CHILD CUSTODY and PARENTING EVALUATIONS ONLY
These evaluations must be court-ordered:
Descriptions, Fees, and Information for Custody and Parenting evaluations
Custody Evaluation Information form - complete this form and mail/fax to the MBHS office to begin the evaluation process, or to obtain a specific price for an evaluation
Please Note: Dr. MacGregor is not currently accepting new custody evaluations
for York or Dauphin counties.