Patient resource

New Patient Forms

Get the paperwork done before you sit down

Completing your paperwork before the first appointment means your session is spent on you rather than on a clipboard.

Forms are sent through our secure patient portal after you schedule. If you'd rather complete them on paper, arrive 20 minutes early and we'll have them ready.

Forms in your new patient packet

  • Patient information and emergency contact
  • Insurance information and assignment of benefits
  • Health and medication history
  • Consent for treatment
  • HIPAA notice of privacy practices acknowledgment
  • Release of information (optional, for coordinating with other providers)
  • Symptom rating scales used to establish your baseline

For minors

  • Consent for treatment signed by a parent or legal guardian
  • Custody or guardianship documentation if applicable
  • School records, IEP or 504 plan, and prior evaluations
  • Release of information for the school if you want us to collaborate

For TMS patients

  • TMS safety screening questionnaire covering implants and seizure history
  • Detailed medication trial history for prior authorization
  • Informed consent for TMS treatment

Submitting securely

Use the patient portal link emailed to you — it is encrypted and HIPAA-compliant. Please do not email protected health information or clinical detail to our general inbox. If you have trouble with the portal, call the clinic and we'll walk you through it or provide paper forms.

Frequently asked questions

Start with one conversation

Tell us what you've tried. We'll confirm eligibility, verify your benefits, and map out what treatment would look like.