Gulf Coast Behavioral Clinic
Gulf Coast Behavioral Clinic
  • Home
  • Contact
  • Telemed
  • Forms
  • Pay Now
  • More
    • Home
    • Contact
    • Telemed
    • Forms
    • Pay Now
  • Home
  • Contact
  • Telemed
  • Forms
  • Pay Now

Downloads

  • All NEW PATIENTS must complete the Welcome Packet, Questionnaire (adult or child), and Cross-Cutting Assessment prior to the initial appointment, or the appointment might have to be rescheduled.  Please note that there is an Adult (ages 18 year) and Child (ages 6 - 17) Questionnaire so please insure that the correct form is filled out.  
  • ALL PATIENTS should fill out the PHQ, GAD, and Mood for every visit. 
  • PATIENTS that have not been seen seen since 6 months or longer need to fill out the Welcome Packet and Past Medical History.

GCB Clinic New Patient Welcome Packet with Forms (pdf)Download
GCB Clinic New Patient Questionnaire_Adult (pdf)Download
GCB Clinic New Patient Questionnaire_Child (pdf)Download
Telemed Consent Form-pdf (pdf)Download
GCB Clinic Authorization to Release Medical Records Form (pdf)Download
Past Medical History (pdf)Download
PHQ-9 For Adults (pdf)Download
GAD-7 Anxiety (pdf)Download
The Mood Disorder Questionaire (pdf)Download
GCB Clinic PHQ-A Child Age 11-17 (pdf)Download
DSM-5-TR Self-rated level 1 cross-cutting symptom measure - child age 11-17 (pdf)Download
Development of Cross-cutting Assessment Instruments Adult (pdf)Download
DSM-5 Cross Cutting Assessment Ages 6-10 (pdf)Download
  • Home
  • Contact

Gulf Coast Behavioral Clinic

3126 Rodd Field Road, Corpus Christi, TX 78414, US

P: (361) 452-6898 F: (361) 452-6870

Copyright © 2018 Gulf Coast Behavioral Clinic - All Rights Reserved.

This website uses cookies.

We use cookies to analyze website traffic and optimize your website experience. By accepting our use of cookies, your data will be aggregated with all other user data.

Accept