Patient Forms
Please click on the form you wish to download from the list below.
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
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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© 2018 IPMG. All rights reserved.
© 2018 IPMG. All rights reserved.