
Patient Forms
Please click on the form you wish to download from the list below.
Download and Print Patient Packet
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
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

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