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Welcome to Our Patient Forms

To help us prepare for your visit and ensure a smooth start to your journey with Dr. Sara, please find the necessary forms below. These are designed for both new and current patients and help us gather essential information securely.

Icon - New Patient Intake Form

New Patient Intake Form

This form is for all new clients beginning their journey with Dr. Sara. Completing this form allows us to gather important background information about your medical and psychiatric history, as well as your current health goals. This helps us make the most of our time together during your initial consultation.

Icon - Release of Information

Release of Information

If you would like Dr. Sara to collaborate with other members of your care team—such as a primary care physician, therapist, or specialist—this form gives us your consent to securely share relevant information. This ensures a coordinated and comprehensive approach to your health.

Icon - HIPPA Authorization Form

HIPPA Authorization Form

Your privacy is our top priority. This standard authorization form allows you to specify who may and may not receive your protected health information. You have complete control over this process, and we will never share your information without your explicit permission.

© 2025 Center for Stress Medicine

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