Dr. Wood Forms

If you have an appointment with Dr. Wood, please download, print and complete the the forms in this section prior to your first visit. Also, please bring a list of your current medications and be sure to bring your insurance card or cards to your first visit. 

Download
Contact Information Form - Dr. Wood
Contact Information.pdf
Adobe Acrobat Document 43.1 KB
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New Patient Information Form - Dr. Wood
New Patient Information.pdf
Adobe Acrobat Document 30.2 KB
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Professional Services Agreement, Notice of Privacy Rights and Policies and Release of Information Dr. Wood
Only the signature page (page 9) of this document needs to be brought to the office. The release of information at the end of this form is available if you would like your protected information shared with others, such as your physician for purposes of coordinating evaluation or treatment efforts.
Service Agreement and HIPAA Notice 1-2-2
Adobe Acrobat Document 168.6 KB
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Informed Consent Checklist For Telepsychology -Dr. Wood
This form is required before video conferencing sessions may take place.
Informed Consent Checklist for Telepsych
Adobe Acrobat Document 30.5 KB
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New Patient Questionnaire
New Patient Questionnaire.pdf
Adobe Acrobat Document 71.6 KB

Dr. Blackwood Forms

Download
Informed Consent For Telehealth - Dr. Blackwood
This form is required before video conferencing sessions may take place.
Informed Consent for Telehealth - Dr. Bl
Adobe Acrobat Document 39.5 KB

Dr. Morris Forms

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Contact Information Form - Dr. Morris.pd
Adobe Acrobat Document 74.8 KB
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New Patient Information Form - Dr. Morri
Adobe Acrobat Document 55.8 KB
Download
Professional Services Agreement, Notice
Adobe Acrobat Document 166.6 KB