858-279-1223
(858) 279-1223

Forms

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New Patient Forms

New Patient Packets include the following forms:

  • Welcome to PsyCare
  • Initial Evaluation and Development of Treatment Goals
  • Consumer Notice of Rights and Responsibilities
  • Primary Care Coordination of Care Form
  • Child/Adolescent Development
  • PsyCare Patient Notice of Privacy Practices

MD (psychiatrist) Packet

Download English Version

Therapist Packet

Download English Version

Authorization to Release Information
Form and Instructions

Download English Version
Download Spanish Version

Child Custody Contract for Joint Custody Form

Download English Version *Both parents must sign all three pages*
Download Spanish Version

(Note: some forms are not available online and will need to be signed in office)