Forms

You no longer need to download forms.  They will be sent electronically.

The office no longer requires you download and fill out forms; they are sent to you through the patient portal. These are forms similar to the ones you will receive. They should only be used in the unlikely event of a portal outage or maintenance.

Initial Visit forms (only for use during portal outage):

  1. Intake Form
  2. Telepsychiatry Consent Form
  3. Anxiety Rating Scale
  4. Depression Rating Scale
  5. Debit-Credit Card Recurrent Authorization Form
  6. Electronic Release of Information Form
image separating forms

Forms after your first visit (only for use during portal outage):

  1. Release of Information
  2. Anxiety Rating Scale
  3. Depression Rating Scale
  4. ADD/ADHD Symptom Checklist
  5. Obsessive Compulsive Disorder Scale