New Patient Forms
If you are a new patient and have been registered online or by phone and directed to this page, please tap the appropriate button below. Completing this prior to your appointment is required. If you have not yet registered with SBBH, please tap to schedule an appointment or call our office (805) 681-0035.
Request to Release Information
To manage the optional transfer of your protected health information, make your request below.
Form I: Third Party Release
Use this form to authorize the release of your records from SBBH to a third party such as a physician, attorney, school, or for your own records. Also use this form to authorize an individual to schedule appointments on your behalf.
Form II: Records Request
Use this form to authorize a third party such as another individual or doctor’s office to send copies of your records to your SBBH provider.