New Patient Forms Please fill out these forms only if you have an appointment established at the Center. New patient documents Patient’s Bill of Rights HIPAA Privacy Statement COVID Informed Consent Patient Information Form Consent to Release - General Substance Use Screening Form Therapy Billing Policy - Child Therapy Billing Policy - Adult Credit Card Form - Please Print Consent to Release - PCP Psychiatrist Child (11-17) - Patient Health Questionnaire Adult Patient Health Questionnaire For Existing Patients COVID Informed Consent