Patient portal

Forms

Patient Intake Form
Appointment Request
Insurance Inquiry
Cancellation Request - NO SHOW
Credit Card Authorization
Controlled Substances Agreement
Patient Forms Packet
General Medical Release of Information (ROI)
Psychotherapy Release of Information (P-ROI)

Downloads

Acceptable Proof of Identification
ReMind Patient Handbook - 2024
ReMind Patient Handouts - 2024

Clinical Assessments

Adverse Childhood Events (ACE)
AUDIT
DAST
MAST
GAD-7
PhQ-9
Mood Disorders Questionnaire
Columbia Suicide Rating Scale
Adult ADHD Self-Assessment
ASAM Criteria Assessment

Reach out to us!

Call: (702) 384-5436