Patient Forms

Completed forms may be brought into the office for your appointment or faxed to our office at 301-897-8537. When faxing, please reference your specific doctor. When you arrive for your initial appointment, please check in with the receptionist

Completion of these forms prior to your first appointment will save you time in the waiting room:

• Registration Sheet
• Policies and Procedures

Completion of these forms will provide information that will be helpful during your initial consultation:

• DSM-5 Symptom Measure
• Medical Symptom Checklist (Review of Systems)

• Medication History
• Sleepiness Scale

Please print this for your reference:

• Notice of Privacy Policies (HIPAA)

These additional forms may be requested by your doctor:

• Release of Information
• PHQ-9
• GAD-7
• HCL-32
• Depression Scale CUDOS-18
• Binge Eating Screen