Forms and Documents

If you are a new patient seeking your first appointment, please click on the New Patients Book Now! button on top of this page.

Measures and Forms

Behavioral Health Measures

Your healthcare provider at Inspired Psychiatric Care may occasionally ask you to complete specific behavioral health measures to get more specific about your condition. Please do not submit a form unless asked to do so by your provider.

Administrative Forms

You can use these forms to update your credit card information or insurance information. You can also use Consent to Release Information if you want IPC to share your information with a non-IPC provider, practice, hospital or inpatient clinic. Your provider may also ask you to complete the Controlled Substance Agreement in some cases.

Behavioral Health Measures
Abnormal Involuntary Movement Scale (AIM)
Adult ADHD Self-Report Scale Symptom Checklist
Adverse Childhood Experience (ACE)
Alcohol Use Disorders Identification Test
Beck Anxiety Inventory (BAI)
Beck Depression Inventory
Beck Hopelessness Scale
Brief Psychiatric Rating Scale
CAGE-AID Adapted to Include Drugs
Clinical Opiate Withdrawal Scale
EMDR Dissociative Experiences Scale
Endinburgh Postnatal Depression Scale (EPDS)
Geriatric Depression Scale (Long Form)
Geriatric Depression Scale (Short Form)
Mood Disorder Questionnaire
OCD Screen
Post-Traumatic Stress Disorder Checklist – Specific
SCID Major Depressive Episode Screen
SCID Manic Episode Screen
*Suicide Ideation Intensity
Trauma Questionnaire
Vanderbilt ADHD Parent Rating Scale
Vanderbilt ADHD Teacher Rating Scale
Administrative Forms
Consent to Release Information
Credit Card on File Consent Form
Insurance Information Update
Controlled Substance Agreement

Documents Available to Download/View

Your Partner for All Ages . . .