Below are forms used by Paradise Valley Psychiatric Associates. New patients should bring these completed forms to the initial visit in order to save time for both them and their clinician. Doing so in advance will allow you more time for the clinical interview.
INTAKE FORMS
Patient Registration Form - Contact information required for communication and billing.
General Consent to Treat - Consent authorizing your clinician to conduct the initial evaluation
Current Symptoms and Medications - List of the main symptoms requiring treatment and medications currently being taken
RELEASE FORMS
Physician Release of Information - Consent authorizing your psychiatrist to contact another professional or to obtain records
Psychologist Release of Information - Consent authorizing your psychologist to contact another professional or to obtain records
Counselor Release of Information - Consent authorizing your counselor to contact another professional or to obtain records