Practice Forms

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