Patient Forms Our Patient Forms are available to fill out online and submit electronically. Click on the form below that you need to complete. 1. Acute Concussion Evaluation Scale2. Adult ADHD Self-Report Scale Symptom Checklist (ASRS-v1.1)3. Assignment of Benefits4. Confidential Exchange of Healthcare Information Form5. Consent for Diagnosis and Treatment6. Controlled Medication Prescriptions Agreement7. Eating Questionnaire8. Epworth Sleepiness Scale9. Group Counseling Informed Consent10. Medical Release Form11. Informed Consent for TMS Treatment12. Medical Records Request13. Notice of Privacy Practices14. Office Policies15. Patient Record of Disclosures16. Pittsburgh Sleep Quality Index(PSQI)17. Post-Concussion Scale—Rivermead18. Referral for Psychiatric Services19. Screening for BPD20. Symptom Checklist Before Seeing Counselor21. Telepsychiatry Informed Consent22. Informed Consent for Psychiatric Medication During Pregnancy and Breastfeeding