This page contains forms for new patients to download and complete as well as various informational resources for established patients. To download a page simply click on the title. Please do not leave any comments or questions on this web page. All patient communication should be sent via our secure e-mail system.
Forms for New Patients
Please download only one of the New Patient Forms that corresponds to your insurance coverage.
1. Medicare [Traditional Medicare with or without a Supplement]
2. For Personal Choice, Keystone, Keystone-65 and other Independence BC Plans ONLY]
3. For those with Aetna, Blue PPO or POS, other insurance, or no insurance, ]
4. Presurgical Assessment Forms
5. Informed Consent for Telepsychology Services
6. Consent for Non-covered Service
Patient Resources
Manipulative Communication and “I” Messages
Cultivating Healthy Mind States
“FACE COVID” – Responding Effectively to Corona Virus Crisis
MEDITATION AND IMAGERY AUDIO FILES:
Body Scan Meditation [MP3 Audio]
Breath and Body Meditation [MP3 Audio]
Sitting Meditation [MP3 Audio]
Wave of Relaxation [MP3 Audio]
Mountain Meditation [Mp3 Audio]
