Therapy Forms
If you wish to participate in therapy, please complete the following forms prior to your first session.
- Consent for Therapy/Teletherapy
- Email Authorization
- Emergency Contact Release
- Payment Authorization
- Limits of Confidentiality
- Authorization to Release Information
Psychiatric Services Forms
Please fill out the forms below before your first visit with the psychiatrist.
- Psychiatric Telehealth Consent
- Psychiatric New Patient Form
- Email Authorization
- Mood Disorder Questionnaire
- GAD-7 Anxiety Form
- Patient Health Questionnaire (PHQ-9)
- Perceived Stress Scale
- Authorization to Release Information
Nutrition, Health and Wellness Forms
Support Group Form