Patient Forms | Max Psychiatry

New Patient Forms

Please download and complete the forms below ahead of time so your visit can be as smooth and relaxed as possible. Bring the completed forms with you to your first appointment.

New Patient Registration

Required for all new patients

Download Form

Initial Visit Info

Provides important details for your first appointment

Download Form

Outpatient Service Contract

Outlines our policies, expectations, and how care is provided

Download Form

Authorization to Release Info

Allows us to share information with other providers if needed

Download Form

Revoke Authorization

Use this form if you need to withdraw a previously given authorization

Download Form

HIPAA Notice of Privacy

Explains how your information is protected and your privacy rights

Download Form

If you have trouble downloading, please contact our office and we'll be happy to mail or fax the forms to you.

Contact Our Office