Intake and Telepsychiatry Forms

Forms

Initial Visit Forms

Office Policies

Notice of Privacy Practices

Credit Card Coverage

Patient Registration Form

Initial Medical Questionnaire

Risk Assessment

Alcohol Screening Questionnaire (AUDIT)

Telepsychiatry Form

Telepsychiatry Consent Form

If you do not have access to a printer, we recommend using Adobe Reader (Windows Operating System) or Preview (Mac Operating System) to fill and sign. Further instructions can be found here.

If you do not have a physical scanner, we recommend downloading a mobile app like Adobe Scan or Microsoft Office Lens on your smartphone to scan your printed forms.