For the safety of our patients, staff, and community during the current pandemic, OUR OFFICE WILL REMAIN CLOSED through July 2021. ALL visits have been switched to telemedicine visits. Please visit our TELEPSYCHIATRY page for more information.
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Adult New Patient Form
Child New Patient Form
Release of Health Care Info
HIPAA Privacy Notice
CREDIT CARD AUTHORIZATION FORM
E-MAIL CONSENT FORM
SMS/TEXT CONSENT FORM
INSURANCE UPDATE FORM
Note: All form submissions are stored in a HIPAA compliant manner.