New Patient Forms
Complete your paperwork before your first appointment to save time and ensure a smooth check-in process.
How It Works
Three simple steps to prepare for your first visit
Download Forms
Access and download all required forms from our patient portal or this page.
Complete at Home
Fill out the forms carefully at your own pace before your appointment.
Bring to Appointment
Bring completed forms to your first visit or upload them via the patient portal.
Required Forms
Please complete all required forms before your appointment
Patient Registration Form
RequiredBasic demographic information, emergency contacts, and insurance details.
Medical History Questionnaire
RequiredYour medical history, current medications, allergies, and previous treatments.
Mental Health Assessment
RequiredInitial screening questionnaire about your current mental health concerns.
HIPAA Privacy Notice
RequiredAcknowledgment of our privacy practices and how we protect your information.
Consent for Treatment
RequiredAuthorization for psychiatric evaluation and treatment services.
Release of Information
Optional form to authorize sharing records with other providers.
Access Forms Through Patient Portal
Log in to your patient portal to download, complete, and submit forms electronically.
Go to Patient PortalWhat to Bring to Your First Appointment
Photo ID
Valid driver's license or government-issued ID
Insurance Card
Front and back of your insurance card
Medication List
Current medications with dosages
Previous Records
Any relevant medical or psychiatric records
Questions About Your Forms?
Our staff is happy to assist you with any questions about completing your paperwork.
Call 678-437-1659