Patient Forms

Please click on the form you wish to download from the list below.


Complete Patient Packet Online


Download and Print Patient Packet

1. Adult Packet – Download
2. Minor Packet – Download
3. Paquete Para Adultos – Download
4. Paquete Para Menores – Download

please email the completed forms to care@inlandpsych.com or submit them in office prior to appointment. Please contact us for any questions


Other Forms

1. Release Form – Download
2. OCD Screener – Download
3. Adult ADHD – Download
4. Telemedicine Consent Form – Download
5. HIPAA Notice of Privacy Practices – Download
6. Right of Access Form for Friends & Family – Download

please email the completed forms to care@inlandpsych.com or submit them in office prior to appointment. Please contact us for any questions



Contact us


Locations

For Locations and Hours visit Locations page.


Call us

Details on Contact page.


Write us


Contact us


Call us

0-123-456-7890


Visit us anytime

1809 W Redlands Blvd., Redlands, CA 92373


Send us an email

care@inlandpsych.com



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