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AJ PSYCHIATRYYour Mental Health Is Our Focus
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We recommend you print and fill out these forms and then email them to [email protected] prior to your appointment.

1. Consent Release Form

2. HIPPA Acknowledgement Form

3. Insurance Verification

4. Medication Consent Form

5. Patient Intake Sheet

6. Payment Agreement Form

7. Policies & Procedures Form

8. TelePsych Consent Form

Note: These files are in PDF format. If you do not have AdobeĀ® ReaderĀ® on your computer, you can download it for free by clicking here.

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