New Patient Forms

If you have been scheduled for an appointment, please review and complete the necessary forms. We will also need to make a copy of your insurance card, please bring that with you as well. 

Please be sure to bring any pertinent medical records so we can make copies if needed. This would include records relating to psychiatric evaluation and treatment, therapy notes, psychological testing, recent lab work and records from inpatient treatment or hospitalization. 

Complete and bring the following with you to your appointment: 

  1. Patient Intake Packet

  2. Release(s) of Information* Please review information about medical records below

Read and keep the following for your own records: 

  1. Privacy Practices

Medical RECORDS Request

*Please complete Releases of Information for individuals or agencies that we should request records from that would be pertinent to mental health services. As mentioned above this could include records relating to psychiatric evaluation and treatment, therapy notes, psychological testing, recent lab work and records from inpatient treatment or hospitalization. 

If you are a new patient, it would be helpful for us to have these records at the first appointment. If you don't have your own copies of your records to bring with you to the appointment please try to complete a Release of Information and send it to us before the appointment (scan and email or mail).