Patient Forms & Assessments
Save time at your appointment — download our intake forms below, or take a 2-minute online screening for depression or anxiety. If you have any questions while filling them out, our team is one phone call away.
Forms, screenings & portal
Everything you need to prepare for your visit or check in on your treatment.
Our list of forms
Each form is provided as a printable PDF. Open, fill out, and bring with you to your scheduled appointment — or upload through the patient portal.
TMS Registration
Complete this intake form before your initial TMS consultation. It captures medical history, current medications, and treatment goals.
Download PDFTMS Exclusion Criteria
Review the contraindications and pre-treatment screening checklist for Transcranial Magnetic Stimulation therapy.
Download PDFMedication Checklist
Bring an up-to-date list of your current prescriptions, supplements, and over-the-counter medications.
Download PDFPHQ-9 + GAD-7 (Print)
Printable depression and anxiety screening questionnaires. Prefer to take these online? Use the assessments below.
Download PDFConsent to Release
Authorization for the release of medical records to or from another provider.
Download PDFHIPAA Notice
Our Notice of Privacy Practices outlines how your health information is used and protected.
Download PDFNo Surprise Act Notice
Federal patient protections regarding good-faith estimates and protection from unexpected medical bills.
Download PDFAnonymous online quizzes for depression & anxiety
Prefer an interactive format? Take a 2-minute screening that scores itself instantly. Results are not stored — they are for your reference and to share with your provider.
Depression Self-Assessment
The PHQ-9 is a 9-item screening for depressive symptoms over the past 2 weeks. Takes about 2 minutes.
Start PHQ-9Anxiety Self-Assessment
The GAD-7 is a 7-item screening for generalized anxiety over the past 2 weeks. Takes about 2 minutes.
Start GAD-7Need help with your forms?
Our front desk is happy to walk you through any form. Hours: Monday–Thursday 9 AM – 7 PM, Friday by appointment.