Call us for an appointment: (316) 616-0260

Forms

Forms


As a courtesy, these intake forms can be completed prior to the first appointment. Please print out either the Adult or Child Information sheet, and the Acknowledgement Notice, Notice of Privacy Practices, and the Office Policies. After printing the Information sheet , please fill this form out, and bring it to your first appointment. You may also complete these forms on line, save them to your device, and send them to the office at info@Riverparkpsych.com
Find Your Form Below

Adult Information Sheet

Please fill out this form prior to your first appointment.
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Child Information Sheet

Please fill out this form prior to your child's first appointment.
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Acknowledgement Notice 

 Please take your written copy of our privacy practices, and a copy of our office policies home with you and read them at your convenience.
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Notice of Privacy Practices 

This notice describes how psychological and medical information about you may be used and disclosed and how you can get access to this information.
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