FORMS

New Patient Forms:

• Practice Policies and Procedures

• Consent for Outpatient Mental Health Services and Telepsychiatry

• Acknowledgment of Receipt of Notice of Privacy Practices

• Authorization to Release and Disclose Patient Information

• Card on File Authorization for Automatic Payment

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Click here for a copy of the Notice of Privacy Practices.

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Other Forms:

• Controlled Medication Agreement

• Consent to Psychotropic Medication

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