Patient Forms

All patients please print, complete, and bring the following forms to your appointment: Practice Policies, Patient InfoHIPAA Acknowledgement, Online Therapy Policy, and Health History.  Any patient who is currently seeing another provider for psychotherapy, please print and bring a signed Therapist Release form [please include contact information for your therapist (phone and/or email)]. Please review the HIPAA document which details policies relevant to your medical information; you may download for personal use, but you do not need to bring to your appointment.  We will discuss my practice policies and HIPPA policy at the appointment.  If you are involved in an ongoing legal matter that may entail issues of your mental condition, you must inform Dr. Crandall at the first appointment.  You will be able to ask any questions you may have at that time.