Forms

Forms for Your
Appointment

We prefer that you complete our forms via electronic e-sign link. Please contact the office and we will send you a link.

If needed, you can download PDF copies of our new patient intake forms for your psychiatric appointment below. This paperwork is required for your psychiatry visit. Please be sure to download the correct form for either child or adult psychiatric care. Our release of information form can also be found below.

  • Adult Intake
    Form

  • Child Intake
    Form

  • Release of
    Information Form

Contact us

Get in touch

We are currently accepting new child and teen patients in both our Sarasota and Tampa offices. We also offer telepsychiatry appointments for families across Florida, Colorado, and Washington. To get started, simply call our office at (941) 413‑0834. Our staff will help you schedule a consultation.

You don’t have to face this alone – expert, compassionate care is available.
Call today to help your child feel better tomorrow.

  • Phone (941) 413-0834
  • Fax (941) 761-5547
  • Sarasota Office 2415 University Parkway, Bldg 3, Suite 219, Sarasota, FL 34243
  • Tampa office 3314 Henderson Blvd, Suite 205, Tampa, FL 33609
  • Colorado Mailing Address 1075 East South Boulder Road, Suite 225, Louisville, CO 80027