Your First Visit To Frederick Psychology Center

We understand that you may experience some uncertainty or anxiety when you arrive for your initial appointment. Be assured that we will provide a friendly orientation to our practice and the therapy process. As a start, we ask that you provide some basic demographic information. Please click on the links below and complete the forms as indicated. The HIPAA form is for your records but please complete and sign the HIPAA signature sheet where indicated. Please bring these forms to your first visit. If you forget, it's okay Copies of the form are available in our waiting room.

• Personal Information Form
• Informed Consent Form
• Informed Consent Signature Form
• HIPAA Notice Form

 

If you will be participating in telehealth services, please sign and return the telepsychology form below.

Telepsychology Consent Form