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Case Closure and Transfer Form (Outpatient and Case Management Providers Only)

Death Reporting Form

Discharge/Termination/Transfer Form

Jail Diversion Screening Form - BABH

Notice and Hearing Rights - Medicaid Recipients

Notice and Hearing Rights - Non-Medicaid Recipients

Privacy Notice Form (Brochure Formatted)

Residential Occupancy Report and Invoice (Form 3806)

Suspected Violation of Recipient Rights - Complaint Form (PDF Format)

Suspected Violation of Recipient Rights - Complaint Form (MS Word Format)

Utilization Management/Review Form - Case Management

 Your Rights When Receiving Mental Health Services in Michigan (Booklet)
        (Spanish Version)        (Arabic Version)


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Access Alliance of Michigan
A Division of Bay-Arenac Behavioral Health
201 Mulholland
Bay City, MI 48708
989-497-1302

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