Patient Forms & Policies

New Patient Paperwork

Spend less time in the waiting room by downloading and filling out your forms before your appointment.

ABC New Patient Forms
Fill out paperwork prior to your appointment.

Telemedicine

For virtual visits and telepsychiatry.

Consent to Participate in Telemedicine Services
Complete this form to participate in telemedicine services.

Telemedicine Patient How-To
Tips for a successful telemedicine video visit.

Consent & Treatment

Agreements between you, your clinician, and your family.

Informed Consent Policy
Communication of treatment between clinician and patient.

Consent for Clinical Treatment
Patient care communication form.

Consent for Child Evaluation & Treatment
Legal guardians have the right to consent for treatment of their child.

Your Rights & Privacy

Know your rights and how your information is handled.

Notice of Privacy Practices
Consent to use and disclose receipt of privacy notice.

Client Rights — Adult
Know your rights as a patient.

Client Rights — Children & Adolescents
Know your rights as a patient.

Policies & Billing

Understand key expectations as an ABC patient.

Medication Refill Policy & Procedures
Understand the policy and procedures for medication refills.

Patient Financial Responsibilities Policy
Agreement regarding insurance, benefits, and payment.

No Show Appeal
Dispute a charge for a late cancellation or no-show.