If you're a new patientt, please complete the following forms and bring them to your first session.

• Patient Intake Form
  
• MINI Screen

If you would like me to coordinate care with another provider (for example, your psychiatrist, primary care physician, etc.), complete this form:

• Consent to Release Information Form

Disclosure Authorization
Patient Intake Form	Complete Medical and Psychiatric History
Adult Self Report ADHD Scale	Self-Administered Scale Used in Diagnosing ADD in Adults
Mini International Neuropsychiatric Screen	Self-Administered Scale Used In Identifying Major Psychiatric Sydromes
Mood Chart	Monthly Mood Chart Used to Track Depression, Anxiety, Sleep, and Medications

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