Forms

New patients:  Please complete the New Patient Intake Form. Print this off and bring it to your first appointment. There is also a HIPAA Statement and Authorization to Release Confidential Information for your use.

New Patient Intake Form

HIPAA Statement

Authorization to Release Confidential Information


Returning patients: Please complete the appropriate screener/scale and bring with you to your appointment.

PHQ-9: Depression Screen

MDQ: Bipolar Screen

GAD7: Anxiety Screen