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Prior To Your Initial Appointment
Please complete the forms in the link titled: New Adult Intake Form (18 years or older) or New Child and Adolescent Intake Form (under 18). If you are unable to complete the forms prior to your appointment, please plan to arrive at least 20 minutes before your scheduled appointment in order to complete the forms. Please make every effort to keep your scheduled initial evaluation as new appointments are limited. |
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Psychiatry Forms
For your convenience, all of our forms are now electronic and much easier to complete online.
All electronic forms are HIPAA compliant to ensure your utmost privacy.
For your convenience, all of our forms are now electronic and much easier to complete online.
All electronic forms are HIPAA compliant to ensure your utmost privacy.
New Adult Intake Form
If you are a new adult patient, please complete the intake packet in advance of your first appointment.
If you are a new adult patient, please complete the intake packet in advance of your first appointment.
New Child and Adolescent Intake Form
If you are a new child or adolescent patient, please complete the intake packet in advance of your first appointment.
If you are a new child or adolescent patient, please complete the intake packet in advance of your first appointment.
HIPAA Notice Form
This form is included in our intake packets. Use this link if for some reason you don't have a completed HIPPA form on file with us.
This form is included in our intake packets. Use this link if for some reason you don't have a completed HIPPA form on file with us.
Consent for Release of Information Form
This form is included in our intake packets. Use this link if you need to give us consent to release information to another care provider.
This form is included in our intake packets. Use this link if you need to give us consent to release information to another care provider.
Telepsychiatry Consent Form
If your appointment is through Telepsychiatry, you need to complete this form one time only
If your appointment is through Telepsychiatry, you need to complete this form one time only
Secure File Upload Form
Use this link if you need to send us information securely through our HIPAA compliant upload form.
Use this link if you need to send us information securely through our HIPAA compliant upload form.