Forms
Completed new patient paperwork is required at the initial appointment for EACH PRA clinician that you see. Our paperwork serves as consent to treatment and there must be one on file for each clinician you see at PRA. All forms to be completed for your initial appointment are available below.
If you are seeing a THERAPIST, click New THERAPIST Patient Paperwork. If you are seeing one of our psychiatrists/MD’s/Nurse Practitioners– Click all the listed forms under NEW PATIENT PAPERWORK – FOR YOUR PSYCHIATRIST/PHYSICIAN/NURSE PRACTITIONER VISIT. There are additional forms for specific providers, you will need to click under those headings and complete those forms as well.
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Please bring insurance card and ID to your first visit.
General Forms
New Patient Paperwork-For Psychiatrist, Physician, or Nurse Practitioner
Please fill out all the forms below. If using the fillable form, save the form as your full name after completing it, then send it to our office at jaddison@prapsych.com. Print forms as indicated when making appointment.
Practitioner Forms
Angela Astleford PMHNP forms
FOR PATIENTS 13 - 17 years of age, please complete the Parent Questionaire and Behavioral Checklist. ALL PATIENTS please complete PHQ9 and GAD7 - please note if insurance does not cover these two assessment, you will be responsible for no more than $10 total. POLICY AND PROCEDURE - REVIEW AND KEEP AS REFERENCE.