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
Administrative Forms
Consent to Release Information | https://intakeq.com/new/8BpFCG/t7rle0 |
Credit Card on File Consent Form | https://intakeq.com/new/e0A5G6/ytnfag |
Insurance Information Update | https://intakeq.com/new/e0A5G6/wiiesh |
Controlled Substance Agreement | https://intakeq.com/new/e0A5G6/oudged |