Patient Forms & Information



Looking to take care of the registration packet before coming to the office?

PBH-New Patient Registration Package

Telepsychiatry Consent Form:

PBH Telepsychiatry Consent Form


Please do not send us any Protected Health Information (PHI), any clinical information, any treatment information or any other transmission that may contain material protected and governed by the Health Insurance and Portability Act (HIPAA) through unsecured email. Please contact us at our office phone number to find out how this type information should be sent to us.

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Please note that content on this website, including articles, images, graphics, reference links or any other material is for informational purposes only. It does not substitute or replace for professional medical information, appropriate clinical diagnosis/formulation and treatment planning; which may involve consultation with appropriate medical experts. Please speak with your own physician/medical expert for any specific questions regarding your medical condition(s). Any images/photographs provided on this website are not actual patients.

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