Patient forms

So you can opt right

Please complete the online form or download the necessary form and print it from your computer/printer. From there you can fill out the needed information and bring it with you to the office at your next scheduled visit. You may also fax or mail the form to our office.

New Patient Application

Xanax and Adderall Policy

Medical Records Transfer Request

Authorization to Disclose Protected Health Information

Non-Custodial Parent Consent and Assignment of Benefits

Non-Parent/Guardian to Accompany Patient Authorization

Teacher Evaluation Form

Mood Disorder Questionnaire

ADHD Evaluation

Anxiety Screening

Health Screening Questionnaire for Depression