Forms

Required Forms and Documents for New Patients

Prior to completing any forms, please call the office to check on new patient availability. Once you have been approved, complete the forms below and fax, email, or bring the paperwork to our office. Once we receive your completed paperwork, our office will call you to schedule your appointment.

• New Patient Packet
• Copy of Driver's License or ID
• Copy of Insurance Card(s) (front and back)

Rating Scales

• PHQ-9 (English)
• PHQ-9 (Spanish)
• GAD-7 (English)
• GAD-7 (Spanish)
• YBOC (English) (For patients with a history of obsessive compulsive disorder)
• YBOC (Spanish) (For patients with a history of obsessive compulsive disorder)
• Buprenorphine Contract (For patients seeking treatment with buprenorphine)

All Office Forms

• Returning Patient Packet
• Credit Card Authorization
• Release of Information form
• Multiple Provider Release of Information Form
• Privacy Policy
• BioMental Health Telepsychiatry Consent
• Controlled Medication Policy
• Buprenorphine Contract
• Demographics/Insurance
• Stimulant Policy

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.
• 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 free scanner applications available for mobile devices.
• If you have any issues, please feel free to contact us.