Prior to completing any forms, please call the office to check on new patient availability. Once you have been approved, please complete the following forms. Once we receive your completed paperwork we will call you to schedule your appointment. You may Fax, E-mail, or bring the paperwork to our office.
Required Forms and Documents for New Patients
Rating Scales
- New Patient Packet
- Telehealth Consent
- Copy of Driver's License or ID
- Copy of Insurance Card(s) (front and back)
- Rating Scale: PHQ-9 (English)
- Rating Scale: PHQ-9 (Spanish)
- Rating Scale: GAD-7 (English)
- Rating Scale: GAD-7 (Spanish)
- Rating Scale: YBOC (English) (For patients with a history of obsessive compulsive disorder)
- Rating Scale: YBOC (Spanish) (For patients with a history of obsessive compulsive disorder)
- Buprenorphine Contract (For patients seeking treatment with buprenorphine)
- Controlled Medication Consent ( For patients being prescribed controlled medications)
All Office Forms
Tips for Completing the paperwork electronically
- Use a computer. This paperwork is not compatible with mobile devices.
- Open the file using Adobe Acrobat Reader and use the Fill & Sign option (this feature is free). To download the free version of Adobe please click the following link https://get2.adobe.com/reader/
- Once the forms are completed, save your progress. You can email, fax or bring the forms to our office. If you do not have a scanner, there are many options available for free scanner applications on your mobile device.
- If you have any issues please feel free to contact us
Required Forms and Documents for New Patients
- New Patient Packet
- Telehealth Consent
- Copy of Driver's License or ID
- Copy of Insurance Card(s) (front and back)
- Rating Scale: PHQ-9 (English)
- Rating Scale: PHQ-9 (Spanish)
- Rating Scale: GAD-7 (English)
- Rating Scale: GAD-7 (Spanish)
- Rating Scale: YBOC (English) (For patients with a history of obsessive compulsive disorder)
- Rating Scale: YBOC (Spanish) (For patients with a history of obsessive compulsive disorder)
- Buprenorphine Contract (For patients seeking treatment with buprenorphine)
- Controlled Medication Consent ( For patients being prescribed controlled medications)
Tips for Completing the paperwork electronically
- Use a computer. This paperwork is not compatible with mobile devices.
- Open the file using Adobe Acrobat Reader and use the Fill & Sign option (this feature is free). To download the free version of Adobe please click the following link https://get2.adobe.com/reader/
- Once the forms are completed, save your progress. You can email, fax or bring the forms to our office. If you do not have a scanner, there are many options available for free scanner applications on your mobile device.
- If you have any issues please feel free to contact us
Please use the relevant checklist to determine which forms you will need to sign. If you find yourself having a hard time or feel overwhelmed with the paperwork, please call our office and we will be happy to help you! If you are still unsure which treatment you want to do, please select the one you are most inclined to.
For TMS
For Spravato
Other Forms
Tips for Completing the paperwork electronically
- Use a computer. This paperwork is not compatible with mobile devices.
- Open the file using Adobe Acrobat Reader and use the Fill & Sign option (this feature is free). To download the free version of Adobe please click the following link https://get2.adobe.com/reader/
- If you have any issues please feel free to contact us
