Forms

Your First Visit

As a friendly reminder, new patient forms must be completed and returned at least 24 hours prior to your appointment.

Thank you,
Conventions Psychiatry & Counseling

Now accepting Care Credit.

Downloadable Patient Forms

Please download, prepare, and print or email these forms prior to your upcoming visit.

To save your completed form:

  1. Click on the desired form link below.
  2. Fill out the information in the form.
  3. Select the printer icon in the upper right-hand corner.
  4. Select ‘Save as PDF’ from the printer selection drop-down.
  5. Once your file is saved select it from your files and email it to [email protected].

Request A Consultation

Please note that this form is not HIPAA-compliant, and we kindly ask that you refrain from submitting any personal medical information through it. If you are experiencing a medical emergency or are in crisis, please call 911 immediately for assistance.