Pay Bill

logoImg
inland-psych-medical-group

Patient Forms

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

Complete Patient Packet Online (for new patients only)

Download and Print Patient Packet

1. Adult Packet

2. Minor Packet

3. Paquete Para Adultos

4. Paquete Para Menores

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

2. OCD Screener

3. Adult ADHD

4. Telemedicine Consent Form

5. HIPAA Notice of Privacy Practices

6. Right of Access Form for Friends & Family

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

Patient Forms

inland-psych-medical-group
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

2. Minor Packet

3. Paquete Para Adultos

4. Paquete Para Menores

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

2. OCD Screener

3. Adult ADHD

4. Telemedicine Consent Form

5. HIPAA Notice of Privacy Practices

6. Right of Access Form for Friends & Family

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

John Kohut, MD

Dr. Kohut is a board-certified psychiatrist who works with patients from age 22 to the elderly providing medication management for patients with symptoms of anxiety, depression, and post-traumatic stress disorder. Dr. Kohut enjoys the opportunity of working in conjunction with psychotherapists of all fields such as licensed clinical psychologist, licensed clinical social workers, and marriage and family therapists. He works with fellow clinicians on an outpatient basis but when necessary, refers to inpatient services and consultants in various inpatient facilities in the San Bernardino and surrounding areas. Dr. Kohut has been in psychiatric practice since 1971.

Practicing locations :

john-kohut

John Kohut, MD

Dr. Kohut is a board-certified psychiatrist who works with patients from age 22 to the elderly providing medication management for patients with symptoms of anxiety, depression, and post-traumatic stress disorder. Dr. Kohut enjoys the opportunity of working in conjunction with psychotherapists of all fields such as licensed clinical psychologist, licensed clinical social workers, and marriage and family therapists. He works with fellow clinicians on an outpatient basis but when necessary, refers to inpatient services and consultants in various inpatient facilities in the San Bernardino and surrounding areas. Dr. Kohut has been in psychiatric practice since 1971.

Practicing locations :

sigrid-formantes

Sigrid Formantes, MD

Dr. Sigrid Formantes is a Board-certified general psychiatrist. She earned her medical degree at the University of the Philippines and completed her general psychiatry residency at the Brookdale Hospital and Medical Center in New York. She has been in practice since 2008 seeing adults 18 years and older.

Practicing locations :

sigrid-formantes

Sigrid Formantes, MD

Dr. Sigrid Formantes is a Board-certified general psychiatrist. She earned her medical degree at the University of the Philippines and completed her general psychiatry residency at the Brookdale Hospital and Medical Center in New York. She has been in practice since 2008 seeing adults 18 years and older.

Practicing locations :

Benefit the rewards of being a part of our Mental Health Group Therapy.

To find out what Group Therapy is currently in session, fill out the form below and our team will reach out to you.

Benefit the rewards of being a part of our Mental Health Group Therapy.

To find out what Group Therapy is currently in session, fill out the form below and our team will reach out to you.

Telepsych ensures you get better access to healthcare with a decreased wait time.

To learn more, fill out the form below and our team will reach out to you.

Telepsych ensures you get better access to healthcare with a decreased wait time.

To learn more, fill out the form below and our team will reach out to you.