Patient Forms
Please complete ALL of the RBH New Patient Forms listed below prior to your first appointment.
- Medication List
- New Patient Registration Form
- Psychological services Informed Consent
- RBH HIPAA Notice
- NON Court Related Services
- RBH Telehealth Consent Form
- RBH Patient Financial Responsibility Consent Form
Please complete this form is the patient is a minor (< 18 years old):
Please complete this form to authorize RBH to release information to another party:
Please complete these forms if you are interested in QEEG Brain Mapping, Neurofeedback, and/or Neuromodulation therapy: