Forms

West Cary Psychiatry
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West Cary Psychiatry Forms:

To facilitate the registration process, we require that all New patient paperwork be completed in order to schedule your first appointment.

Online New Patient Forms:​ Please complete all 3 sections below. 
New Patient Demographics and History
Past Psychiatric Treatment History
Treatment Agreement
Practice Policies:
Office Policies and Procedures
File Size: 1460 kb
File Type: pdf
Download File

Notice of Privacy Practices
File Size: 105 kb
File Type: pdf
Download File

Request Medical Records:
Release of Information Form
File Size: 409 kb
File Type: pdf
Download File

Printable PDF of New Patient Forms: 
Paper Copy of New Patient Forms
File Size: 4451 kb
File Type: pdf
Download File

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