West Cary Psychiatry
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​West Cary Psychiatry Forms
for Computerized Cognitive Testing

ONLINE FORMS FOR ADHD OR DEMENTIA TESTING
These are the links to the online version of the paperwork for computerized cognitive testing through West Cary Psychiatry. Please click on each link individually and complete the requested information, including the release of information form if you were referred for testing by another provider or would like a copy of your testing sent to another provider or school.
Demographics for Computerized Cognitive Testing
Treatment Agreement/Financial Policy for Computerized Cognitive Testing
Release of Information Form
Advance Beneficiary Notice

OTHER ONLINE FORMS

CREDIT CARD ON FILE
Password for Form: WcpCC377*
QR for Online CC Form
QR Code for Jotform form

POLICIES AND PROCEDURES
PRINTABLE FORMS
This file is the policies and procedure for West Cary Psychiatry for patients seeking computerized cognitive testing only. These are the terms to which you are agreeing in the new patient paperwork.
Please use these links to download a paper copy of the new patient paperwork if you prefer not to use the online forms
wcp_new_pt_registration_form.docx
File Size: 50 kb
File Type: docx
Download File


Contact us at:
​(919) 377-1042 * office
(919) 234-0278 * fax
​(866) 694-9193 * fax
[email protected]
Social Media
  • Home
  • Services
  • Testing
    • Testing Forms
  • WCP Forms
    • New Patient Forms
    • Testing Forms
    • Refer to WCP
    • Forms for existing patients
  • Information
    • Practice Newsletters and Policy Updates
    • Clinicians
    • Location
    • Insurances
    • Telehealth
  • Contact
  • Useful Links
    • Therapeutic Bookshelf
    • Meditation/Breathing