Useful Forms and Documents

Telemental Health

• Telemental Health Patient Instructions
• Telemental Health Patient Consent Form

Psychiatry and Individual Therapy

• Adult New Patient Form 
• Child and Adolescent New Patient Form 
• Release of Information 
• Daily Diary Card (Daily tracker for mood, behavior, and skills)
• Notice of Privacy Policies

All forms are to be completed prior to the start of the module in order to complete registration.

Adolescents

• Class Intake Forms for Minors
• Outside Therapist Release of Information
• Outside Therapist Treating Agreement (to be completed by the outside therapist)

Adults

• Class Intake Forms for Adults
• Outside Therapist Release of Information
• Outside Therapist Treating Agreement (to be completed by the outside therapist)

Other Forms

• Notice of Privacy Policies
• Add a Card on File