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Phone: (920) 498-8600
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About
Affiliations
Mission, Vision & Values
Quality and Safety
The Joint Commission
For Patients
Adolescent
Adult
Financial Services
Patient forms
Safety and Security
Spiritual and Pastoral Care
Video and phone visits
For Family
For Professionals
Careers
Direct Admissions
Fostering Recovery
Resources
Frequently Asked Questions (FAQs)
Funding Assistance
Signs and Symptoms
Rural Care
Media
Patient Stories
Press Releases
Contact Us
HOME
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For Patients
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Patient forms
Patient forms
Please follow the below steps to complete Libertas’s intake forms prior to treatment.
Click here
to download the necessary forms using Adobe Acrobat
Carefully read each form
On each form, fill in the text boxes with your name, date and time of completion
Save each form
Upload and send all completed forms to Libertas’s confidential e-mail:
libertas@hshs.org
. Please include the date of your appointment in the subject line.
Mobile instructions:
iOS Instructions
Android Instructions
If you have questions, please call Libertas in
Green Bay at
(920) 498-8600
Marinette at
(715) 735-0095
For Patients
Adolescent
Adult
Financial Services
Patient forms
Safety and Security
Spiritual and Pastoral Care
Video and phone visits
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