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Behavioral Health Patient Forms in the Mid-Missouri Region

Here are some forms that you might need for admission to an SSM Health Behavioral Health location in the greater St. Louis metropolitan region:

    Before Selecting Your Appointment,

    there are some circumstances that require our assistance with scheduling.

    Please verify the following before proceeding:
    • I am age 35 or older.
    • I am NOT experiencing any issues, such as a lump, nipple discharge or other changes.
    • I was not diagnosed with breast cancer within the last three years.
    • I have not breast fed within the last six months.
    • It has been one year or more since my last appointment.
    If you have one or more of the above circumstances, please Connect By Phone. Otherwise, Confirm & Proceed.