NEW CLIENTS FORM
Congratulations on taking the next steps to improved mental health and wellness!
The below forms must be completed and delivered BEFORE your first mental healthcare appointment! Failure to complete forms may result in your appointment being canceled or rescheduled. There are no refunds on payments for appointments canceled or rescheduled due to a lack of completed paperwork.
1. Patient Information
2. Medical History Form
https://intakeq.com/new/ExxPYv
3.Intake form
4. Patient Health Questionnaire
5. The Mood Disorder Questionnaire
6. Authorization for Release of Medical Information
7. Office Policies and Proceedures
8. Credit Card Authorization Form
9. Telepsychiatry Informed Consent