Forms
Dr. Wood
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.
New Patient Information Form - Dr. Wood
New Patient Questionnaire
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.
Contact Information Form - Dr. Wood
Informed Consent Checklist For Telepsychology -Dr. Wood
This form is required before video conferencing sessions may take place.
Dr. Blackwood
Informed Consent For Telehealth - Dr. Blackwood
This form is required before video conferencing sessions may take place.
Dr. Smith-Vaughan
New Patient Information Form - Dr. Smith-Vaughan
Contact Information Form - Dr. Smith-Vaughan
Professional Services Agreement, Notice of Privacy Rights and Policies and Release of Information Dr. Smith-Vaughan
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.
Informed Consent Checklist For Telepsychology -Dr. Smith-Vaughan
This form is required before video conferencing sessions may take place.