New Patient Forms

If you're a new client, please complete the following forms and bring them to your first session along with prescription bottles or pharmacy print-out of medications. Please call or schedule an online appointment Positive Perceptions, PLLC for an individual psychiatric consultation today. Our available dates and times are noted below. Please note all new patients who schedule online will receive a brief phone call from office staff prior to appointment being confirmed in the office.

If you would like us to coordinate care with another provider (for example, your previous psychiatrist, primary care physician, psychotherapist, etc.), complete this form to authorize release of psychiatric information:

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