FORMS

Because we know how valuable your time is we have updated our system to make it easier for you.  Now you can download the new patient welcome packet along with other documents that you need to complete before your first appointment.

ALL NEW PATIENTS NEED TO READ FORM 1 AND COMPLETE

FORMS 2, 3, 4 AND 5.  DEPENDING ON YOUR APPOINTMENT TYPE PLEASE COMPLETE OTHER FORMS AS INDICATED BELOW

 
2
Privacy Practice Consent 

1

Patient Welcome Letter

3

Patient Authorization Form

4

Treatment, Communication and Electronic Prescribing Consent Forms 

TMS PATIENTS ONLY

If you are an existing patient of MindHope ONLY complete

letters B,C and D

A

New Patient  Information | Health Questionnaire for TMS patients ONLY

B

PHQ-9 Depression assessment form

C

HAMILTON DEPRESSION RATING SCALE

D

TMS Consent Form |Financial Agreement  |  Office Policies

5

Pharmacy Preference 

All Patients are Required to complete PHQ-9 (depression assessment form)  Bring to your next appointment

WORKERS COMPENSATION PATIENTS ONLY

Workers' Compensation Intake Form

Workers' Compensation 

Health Questionnaire

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