A specialist will conduct an assessment and screening over the phone. Subsequent appointments may be made at the BayView Professional Associates’ office where you receive your care.

If after answering a number of questions it is determined that you, your loved one or friend would benefit from another provider or other community agency, AltaPointe will assist you by making the appropriate referral in the community.

• Caller’s Name (and/or name of individual in need of services)
• Date of Birth
• Home Address
• Insurance Information
• Social Security Number

• Have you ever been a patient at AltaPointe?
• Describe your current signs/symptoms.
• Are you able to sleep? Is your sleep affected?
• Have you had an increase or decrease in appetite?
• Do you believe you are a danger to yourself?
• Do you believe you are a danger to others?
• Do you have any risk factors? (Click to view)
  Risk factors may include:
  ­    Hallucinations
  ­    Delusions
  ­    Paranoia
  ­    Family history of substance abuse/mental Illness
  ­    No support system
• Do you have any involvement with the police or courts?
• Do you have any medical problems?
• Are you experiencing any physical or sexual abuse?
• Do you believe you may have a substance abuse problem?
• Have you had previous behavioral health counseling or treatment?

Because we want your experience with AltaPointe to be the best and most beneficial, please complete the Pre-Intake form and bring it with you. You also may be asked to provide or bring the following documents to your appointment:

• Proof of insurance
• Proof of residency
• Medications and medication list
• Court papers or power of attorney document, if needed
• Your photo ID (driver’s license, passport, or other government issued ID)
• Your Insurance Card(s)
• Your copay and/or deductible amount in full
• Pre-Intake Form (please complete and bring with you to your first appointment)