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Patient Forms

New Patient Paperwork

Adult

Paperwork

Click Here

Child

Paperwork

Click Here

Referral Forms

Onine Provider

Referral

Click Here

Self

Referral

Click Here

Paper Referral Form

Click Here

Assessments

Beck Anxiety Inventory

Click Here

PHQ-9

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Click Here

PHQ-9

For Adolescents

Click Here

Adult

ADHD

Click Here

Current Patient Paperwork

Authorization of Release of Information

Click Here

Third Party Designee

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Click Here

Telehealth Informed Consent

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Click Here

Yearly 

Patient

Update

Click Here

Credit Card Authorization Forms

Charleston Credit Card Authorization

Click Here

South Ridge Crediet Card Authorization

Click Here

Morgantown Credit Card Authorization

Click Here

Questions?

If you have any questions regarding patient paperwork, please visit our CONTACT page and submit a message or call 681-265-9047.

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