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Home Insurance and Payment Forms Before Your First Visit Contact Resources

Telemedicine Document:

Please print and complete this form and bring to your appointment.

Office Policy Disclosure Document:

Please print and complete this form and bring to your appointment.

Release of Information:

Please print and complete this form and bring to your appointment.

Insurance Document:

Please print and complete this form and bring to your appointment.

HIPAA Privacy Document:

Please print and complete this form and bring to your appointment.

GAD 7 Document:

Please print and complete this form and bring to your appointment.

Health History Questionaire Document:

Please print and complete this form and bring to your appointment.

Mood Discorder Questionaire:

Please print and complete this form and bring to your appointment.

PHQ 9 Document:

Please print and complete this form and bring to your appointment.

Edinburgh Questionaire:

Please print and complete this form and bring to your appointment.