New Patient Forms

Prior to your first appointment with Dr. Soucy please download, print, fill out and bring the following 7 forms to your first appointment:

  1. Insurance information sheet
  2. Office policies
  3. Background Info Sheet
  4. SIGNATURE ON FILE
  5. HIPAA NOTICE OF PRIVACY PRACTICES
  6. release to PCP
  7. In office Informed consent
  8. Teletherapy consent form
 
 
Note:   You will need Adobe Reader to download and read these pdf forms.  To download Adobe Reader
click on the following link:                       http://get.adobe.com/reader