New Patient Forms
Please print and complete the appropriate form below and bring it with you to your first appointment.
Notice of Privacy Practices
ALL CLIENTS PLEASE READ
Telehealth Consent Form
Release of Information
Print and complete this form when you would like to give information or records about you to an individual or group.
Print and complete this form to allow Psychological Associates, P.A. to speak to an individual regarding your account, insurance and appointments.
Updated Demographic Form 2021
Print and complete this form to provide current demographic and insurance information and sign to authorize Psychological Associates, P.A. to bill your insurance.