Associated Psychologists, PLC
                                 NEW PATIENT FORMS (2)
TWO different forms are required of new patients in our office.

The first is a
Registration form, including insurance information and consent to
treatment. The second is a
Social-Medical History form that will provide
important background information for your doctor/therapist.  You may complete
both of these at home and bring with you to your first appointment.

If you are unable to download them, please plan to arrive
30 minutes PRIOR to
your scheduled appointment time. Both forms must be completed before your
appointment time or your appointment may be rescheduled.

Finally, please contact your insurance carrier if applicable to inquire about your
Outpatient Mental Health benefits; in many cases, these differ significantly from
medical office copays or deductibles.

   FORM  #1

Click on the name of the doctor below you will be seeing to download the
Registration forms.

Dr. Boardway, DeGroat, Dickson, Manion, Maltz, Neal, and Yost; Lori Mitton LLP,
Jennifer Parnell LPC


Dr. Lujan

Dr. Mazzara


     
   FORM #2

Click on the age of the patient to download the age-specific
Social-Medical
History
form.

Child-Adolescent           Adult