Patient Information

Patient Forms

The first encounter with a psychiatrist can be challenging. I can assure you that you don’t have one of a kind that I have not treated before. I accept self-pay, most commercial medical insurances, most veterans medical services, and Medicare.

Please print, complete, sign and return these forms by mail as soon as you have booked your appointment. 

Authorization - Release of Information
Authorization of Treatment
HIPAA - Notice of Privacy Practices
Intake and Worksheet
Adult ADHD Self-Report Scale

Insurances Accepted

AARP

Aetna

Anthem Health

BCBS

Cigna

First Health PPO

Golden Rule

Medicare

Optum

TriCare

TriWest with VA Referral

UnitedHealthCare

and more!

We accept most insurances and Medicare!