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Practice Forms and Documents

  • Release of Information

  • Notice of Privacy Practices

  • Credit Card Policy and Change              of Credit Card

  • Telemedicine Informed Consent

If you or a loved one feel as if you suffer from the following psychiatric difficulties, please print and fill out (or have the proper personnel fill out) the associated forms

Adult ADHD

ADHD in Children and Adolescents

Vanderbilt Assessment Scales for Diagnosing ADHD in Children:  To be filled out by parents and teachers

Please have both parents fill out (one Vanderbilt scale for each parent) if possible.  If your child has more than one teacher, please make copies and have math, science and English teachers fill out. 


Bipolar Disorder


Substance Use

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