Forms


 

Please download and fill out the forms (Patient Information Packet) by pressing the link below, you may fax them via our encrypted number (1-949-315-3555) or bring them with you to your initial appointment.

If you are unable to download the forms in advance of your session, please plan on arriving 10-15 minutes early to your scheduled initial appointment so that you can fill out the paperwork prior to your first visit.

Your psychiatrist will review these forms and the information you provide at your first visit, as well as answer any additional questions you may have.

PATIENT INFORMATION PACKET    This form provides your doctor with more information about you, your reasons for seeking treatment, including consents and authorizations.

 

Notice of Privacy Practices Please review this notice and keep a copy for your records.

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