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New Patient Forms are emailed to you for completion so that they may returned prior to your scheduled appointment. If necessary, you may print these forms, fill them out and bring to your appointment. Please arrive at least 30 minutes in advance if bringing the forms to the clinic.

Your appointment may need to be rescheduled if forms are not completed prior to the scheduled appointment time.
 

Clinical Intake Form

(required for all new patients)

2025 Patient Consent Forms

(required for all patients)

Minor Consent Form

(required only for minor patients)

Therapy Intake Form

(required for all new therapy patients)

New Patient Forms

Download Forms

New Patient Forms are emailed to you for completion so that they may returned prior to your scheduled appointment. If necessary, you may print these forms, fill them out and bring to your appointment. Please arrive at least 30 minutes in advance if bringing the forms to the clinic.

Your appointment may need to be rescheduled if forms are not completed prior to the scheduled appointment time.

General Psychiatry

Only for patients age 18 and older, the patient will need to complete the following:

Sleep Medicine

Only for patients age 18 and older, the patient will need to complete the following:

Psychotherapy

For patients age 12 and older – there are required signatures and consent needed directly from the patient as well.

Child & Adolescent Psychiatry

Parent or Legal Guardian must complete the Consents & Intake forms.

For patients age 12 and older – there are required signatures and consent needed directly from the patient

All patients will need to complete the following:

Neuropsychological Testing

Only for patients age 18 and older, the patient will need to complete the following:

For patients age 17 and younger, the patient will need to complete the following:

For patients age 12 and older – there are required signatures and consent needed directly from the patient on the following: