Pre-Registration Paperwork

Streamline Your Arrival

Download the documents below prior to your arrival to streamline the registration process. These documents must be printed, read, filled out, and brought with any patient who reserves an assessment appointment time using the form below. Lakeside Behavioral Health System cannot hold appointment times for patients unless these forms are completely filled out prior to arrival.

Download Paperwork

Let Us Know When You Plan to Arrive

While Lakeside Behavioral Health System cannot guarantee an appointment time, filling out the form below will help notify our team of your arrival. This reservation system is for scheduling non-life-threatening psychiatric assessments. If you are having feelings of harming yourself, another person or are in a life-threatening situation, please call 911.

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Name*
MM slash DD slash YYYY
Please confirm the following*
This field is for validation purposes and should be left unchanged.
Admissions
General Inquiries

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Consent*
This field is for validation purposes and should be left unchanged.

Now is the Time to Get Help

When you or a loved one is struggling with mental illness, addiction, or behavioral concerns, call us today at 901-377-4733. Licensed mental health professionals are available 24 hours a day, 7 days a week. Lakeside has provided hope and healing since 1969.