BrainDoc | Forms

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Forms

Below are the new patient forms. Once you have made an appointment to meet with me, please download and fill out these forms and bring them with you to your first appointment. That way we will have the whole time to talk. Thanks and I look forward to meeting with you!

Informed Consent for Telepsychology

Informed Consent

Protecting Your Privacy

Patient Information

Electronic Communication Policy

Symptom Tracking

Good Faith Estimate

If the appointment is for your child, please use his or her name on the forms and be sure to fill out the Child Development Questionaire.

Child Development History

Child Consent to Treatment