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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.

Consent Form
Telehealth Consent Form
Coordination of Care
Credit Card Authorization
PHQ & GAD
Adult Questionnaire
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.
Consent Form
Telehealth Consent Form
Coordination of Care
Credit Card Authorization
Responsible Party for Minor
PHQ & GAD
Adolescent Questionnaire
 Additional Paperwork (Not Required) 
Release of Information
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  • Home
  • Our Services
  • Our Staff
  • Location and Contact
  • New Patient Paperwork