Click on the links below to download PDFs of universal forms.

If you are having trouble, contact us at CBCHealthhome@cbcare.org

Safe Options Support Flyer (English)
Safe Options Support Flyer (Spanish)
Safe Options Support Program Description One Pager
Safe Options Support – Referral Package
CBC Adult HH Referral Form
CBC Children HH Referral Form
HHSC FAQ
HHSC Information Sharing Consent under 18 DOH 5201
HHSC Care Management Tracking DOH 5201 Section 2
HHSC Consent Release of Educational Records DOH 5203
HHSC Consent Withdrawal of Release of Educational Records DOH 5204
Adult Health Home Information Sharing Consent DOH 5055
Pathway Home Brochure (for Prospective Clients)
Pathway Home Brochure (for Behavioral Health Professionals)
Pathway Home Referral Package