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  Integrative Psychology of Ann Arbor- Psychologist and Therapist in Ann Arbor

New Patient Paperwork

FIRST VISIT - FORMS & GENERAL INFO
Remember to Bring Your Insurance Card & Identification to Your Initial Visit

Important Patient Informational Brochure
Adult Paperwork (18+ Years of Age)
Please print out the following five forms and bring them with you to your first appointment.

Adult Questionnaire
Consent Form
Coordination of Care
PHQ & GAD
Telehealth Consent Form
Child and Adolescent Paperwork (Under 18 Years of Age)
Please print out the following six forms and bring them with you to your first appointment.
Adolescent Questionnaire
Consent Form
PHQ & GAD
Coordination of Care
Telehealth Consent Form
Responsible Party for Minor
 Additional Paperwork (Not Required) 
Release of Information
Credit Card on File
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  • Home
  • Our Services
  • Our Staff
  • Location and Contact
  • New Patient Paperwork