Accepting new patientsTexas residents onlyWe do not accept MedicaidNow open: North Dallas office
For patients

Patient forms

Every form can be completed online — it's sent securely to our intake team the moment you submit. Prefer paper? Most forms also offer a printable PDF. Not sure which forms you need? Your care team will tell you exactly which ones apply.

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New patient intake

Complete these before your first appointment — or ahead of time through the patient portal.

New Patient Questionnaire

The main intake form every new patient completes before their first visit.

Psychotropic Medications Agreement

The patient agreement for psychiatric medication treatment.

Assessments

Screenings & assessments

Your clinician will tell you which of these apply to you. Don't self-assign — each one is scored as part of your evaluation.

Adult ADHD Self-Report Scale (ASRS)

Self-report screening for adult ADHD symptoms.

ADHD Vanderbilt (Parent / Significant Other)

Informant-rated ADHD assessment for children and adolescents.

Patient Health Questionnaire (PHQ-9)

Standard depression screening and severity measure.

Generalized Anxiety Disorder (GAD-7)

Standard anxiety screening and severity measure.

Mood Stability Screening

Screening for mood episodes and stability over time.

PTSD Checklist for DSM-5 (PCL-5)

Screening for post-traumatic stress symptoms.

Perceived Stress Scale

A brief measure of how stressful you find your life right now.

Adverse Childhood Experiences (ACE)

Questionnaire about childhood experiences that can affect adult health.

WHODAS 2.0

World Health Organization measure of day-to-day functioning.

RCADS-25 (Caregiver)

Caregiver-rated anxiety and depression scale for children and adolescents.

RCADS-47 (Patient)

Self-rated anxiety and depression scale for children and adolescents.

Minor Therapy Pre-Screening

Pre-screening for therapy for patients under 18 — completed with our team.

Consents

Consent forms

Consents we may ask for during intake or when coordinating your care.

Patient Consent & Policy Questionnaire

Consent for treatment and acknowledgment of practice policies.

Consent to Release of Information

Authorize us to share records with another provider or person.

Surescripts Prescription Data Consent

Consent to retrieve your prescription history electronically.

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