IN PREPARATION FOR YOUR FIRST VISIT:
• Please bring your Driver’s License and Insurance Card
• Please bring the New Patient forms, filled out, and give to office staff
• Please bring your co-pay, if you have one
• Expect to stay about an hour for first visit
• Please do not bring young children, if possible, so the focus can stay on you
• Bring recent lab work if you have copies. You will be asked to have lab work done otherwise
• Names and doses of current medication. Bring the prescription bottles if possible
• Please bring a list of supplements and doses
• If you cannot remember your medications or are not sure of your personal history with dates or important psychiatric events, you may bring someone with you to help
• Pets that are not service animals are not permitted in the office
In addition please print out and fill out the necessary the following documentation prior to your first visit as it will be required before any session:
- Acknowledgment Of Receipt
- Assignment Of Benefits
- Communication Consent
- Consent For Treatment Of Minors
- Information Release (HIPAA)
- Medication And Controlled Substances Agreement
- Member Rights Responsibilities
- Office Policy And Patient Contract
- Patient Consent Form
- Patient Information Insurance
- Review Of Systems [ALL FORMS]
- Laboratory & Pathology Consent Form
- MADRS Rating Scale
- Alcohol Use Audit Form
- Drug Abuse Screening Test
- Fagerstrom Test For Nicotine Dependence
- ALL Documents Combined
