When we schedule new patient appointment, this is one full hour blocked just for you. Unfortunately, due to the large number of No Shows at first appointment, we now request $100 deposit at the time of booking new patient appointment. Deposit is fully refundable, if you keep your appointment, or cancel giving us at least 48 hrs notice.
Please print, fill out and bring these form with you to your first appointment with the doctor. If you are not able to print them, please arrive at least twenty minutes before your scheduled appointment time.
Please make sure to download the forms to your computer before filling them out. If you enter information from this page into the form, it won't be saved. All signature must be either signed by hand, or digitally signed. Typying in the patient name is not a valid signature.
If the patient is a minor, please bring also these forms:
Tampa Bay Psychiatric Services, PL
Wesley Chapel - 813 699 4020
Sarasota - 941 527 0159