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Patient Forms

New Patient Paperwork

Click On The links below to complete your paperwork.

Current Paperwork

Make Sure You are on the correct location's tab and then click the links below to complete your paperwork.

Assessments

Click On The links below to complete your paperwork.

Referral Forms

Click On The links below to complete your paperwork.

Credit Card Authorization

PSIMED offers a Credit Card on File program as a convenient method of paying for the portion of your telehealth services that are patient responsibility such as copay, deductible, and co-insurance. 

 

Your credit card information will be kept confidential and secure.

Click On The links below to complete your paperwork.

Questions?

If you have any questions regarding patient paperwork please call 681-265-9047

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