So Cal Psych Forms
All forms are sent to patients on demand. Please call our office
directly or send our office a message either through your registered
email or cell phone requesting the paperwork. Other
forms you may need are
-
Your first appointment / New Patient Form - All new patients must complete the New Patient Form to confirm your tentative evaluation appointment. VERY IMPORTANT NOTE - If we do not receive the form by 9 am the day before your appointment, your appointment could be cancelled so that we can use the time for other patients in need.
-
Medication Consent for Minor - both birth parents must sign consent to
prescribe medication for children. If you are the guarantor (step parent or
foster care provider), you must submit the court issued letter stating that
you have the right to sign medical treatment consents for the minor.
-
Release of Information Form - This form is required if you would like
to delegate a third party access to your treatment records or to be
able to make appointments on your behalf
-
Feedback Form - You can request this form to help give us feedback and
/ or file a grievance with management for confidential review. We
would always welcome your feedback.
-
Notice of Privacy Practices - Explains your right to privacy and how
we may use/disclose the information with/without your consent
internally, with your insurace, pharmcies, diagnostic lab and with
government agencies, etc.