Practice Forms
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ASRS Scale (Adult ADHD Self-Report Scale) Please use this form to evaluate your symptoms of ADHD. |
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Authorization to Release Health Information Please complete this form to authorize release of health information between clinicians and/or family memebers. |
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Consent for Use of Psychiatric Medications Please use this form to Consent to use of medications discussed with your doctor at your appointment. |
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Credit Card Authorization Form Please use this form to provide authorization for credit card payment. |
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Insurance Update Form Please use this form to provide new insurance information to the office. |
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Fee Schedule Fee Schedule |
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Privacy Policy |
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Insurance Benefit Verification Form Guide to inquire about your Behavioral Health Benefits. Not a required form. For your informational purposes only. |