Patient forms
Access the forms, assessment, or resources ahead of your next appointment.
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PATIENT RESOURCES
Forms, assessments, and patient resources
New patient forms
Psychiatric & Therapy visit
New patient registration packet
Clinical new patient intake packet
TMS visit
TMS new patient registration packet
Clinical new patient intake packet
Spravato® visit
Spravato® new patient registration packet
Clinical new patient intake packet
Other forms & policies
Patient forms & consents
HIPAA release of information form
Medicare/Medicaid private contract form
Medication refill request form
Upload documents Form
AI Scribe consent form
Health eConnections consent form
Controlled substances consent form
Assessments & questionnaires
Adult ADHD self-report scale
Vanderbilt teacher
Vanderbilt parent
Vanderbilt Autism Spectrum Quotient (AQ)
Mood Disorder Questionnaire
PCL-5
PHQ-9, GAD-7, and QIDS-SR
Y-BOCS
PHQ-9 for teens
PHQ-9 and GAD-7
QIDS-SR
SCARED parent version
SCARED child version
Billing & patient resources
Credit card authorization form
Revoke your credit card form
Medication refill request form
Upload documents form
Notice of privacy practices
LOCATIONS
Care close to home, across New York
With 10 locations across the Hudson Valley, Westchester, Long Island, the Capital Region, and Central New York, Clearwave care is closer than you may think.
Ready to feel like yourself again?
Most new patients are seen within the week.