Forms & Policies

Complete your intake forms and review our practice policies before your first appointment. All forms are secure, HIPAA-compliant, and designed to help us provide you with the best possible care.

New Patient Intake Forms

Please complete these forms at least 24 hours before your first appointment. This allows us adequate time to review your information and prepare for your visit.

Complete Intake Package

Required

Our comprehensive intake package includes all necessary forms for new patients. This secure, HIPAA-compliant portal will guide you through each section.

Includes:

  • Medical and psychiatric history
  • Current symptoms and concerns
  • Medication history and allergies
  • Insurance information
  • Consent for treatment
  • Privacy acknowledgment (HIPAA)

Estimated time: 15-20 minutes

Complete Intake Forms

Opens in secure patient portal

Individual Forms

If Needed

If you prefer to complete forms individually or need to update specific information, you can access individual forms below.

Before You Begin

Allow Adequate Time

Set aside 15-20 minutes to complete the forms thoroughly. You can save your progress and return later if needed.

Gather Information

Have your insurance card, medication list, and previous medical records available for reference.

Secure Connection

All forms are transmitted through encrypted, HIPAA-compliant channels to protect your privacy and personal information.

Individual Forms & Documents

Access specific forms and documents as needed. Most patients will complete the comprehensive intake package above.

Request for Medical Records

Form to request copies of your medical records.

Download PDF

Consent For Treatment

Informed consent for psychiatric treatment and services.

Download PDF

Privacy Policy (HIPAA)

Notice of privacy practices and patient rights under HIPAA.

Download PDF

Payment Policy

Payment policies, insurance information, and financial agreements.

Download PDF

Practice Policy

General practice policies and procedures.

Download PDF

No Surprises Act/Good Faith Estimate (GFE)

Your rights and protections against surprise medical bills.

Download PDF

Release of Information (ROI)

Authorization to release information to third parties.

Download PDF

Practice Policies

Please review our practice policies to understand our procedures and your responsibilities as a patient.

Need Help with Forms?

We're here to assist you with any questions about forms, policies, or the intake process.

Call for Assistance

Our staff can help you complete forms over the phone or answer questions about our policies.

(912) 216-2499

Email Support

Send us your questions and we'll respond within 24 hours with assistance.

Email Us

In-Person Help

Arrive early for your appointment and we can help you complete any remaining forms.

Please allow extra time

Ready to Complete Your Forms?

Take the next step in your mental health journey by completing your intake forms today.

Questions about the forms?
Call us at (912) 216-2499 and we'll be happy to help.