Patient Forms

patient-forms - lumospsychiatry

HIPAA Notice

These are the patient forms you need to complete before your first appointment. Please select between English & Spanish as you prefer. Select the intake packed that fits your age group or the type of clearance you will have done. Please fill the intake packet completely at any time before your appointment but the screening scales answer them the day before or the day of your appointment prior to arriving at the office. If the documents are not complete before the time of your appointment, we cannot guarantee the appointment will happen and it may have to be re-scheduled.

Please complete this scale as well if you are waiting to be evaluated for attention deficit hyperactivity disorder.