HIPPA Notice for Adults

New Patient for Adults, please complete the following forms: New Patient Information, HIPPA notice and two HIPPA releases (one for insurance and one for your primary care physician). Please select the checklists for depression, anxiety, and ADHD that correspond to the patient’s age.

New Patient Information HIPPA Notice Primary Doctor Information Insurance Company Information Therapy Patients’ Bill Of Rights The Burns Anxiety Inventory The Burns Depression Checklist Telemedicine Informed Consent Form