PRA FORMS & PAPERWORK
Completed new client paperwork is required at the initial session for EACH PRA clinician that you see. Our paperwork serves as consent to treatment and there must be one on file for each clinician at PRA that you are seeing. All the forms needed for your first appointment are listed below under New Patient Paper Work
Please bring your insurance card and photo ID to your first appointment!
PLEASE NOTE: If you are seeing one of our child psychiatrists (Dr. Woods, Dr. Lee or Dr. Raden) there are additional forms to download and complete.
New Patient Paper Work – Please download, print and complete each form – Please do not date the forms, we will date them on the day of your visit.
Client Information Form
Consents and Authorizations
Patient Rights/Notice of Privacy Practices
Medical Screening Form (Only print if you are seeing a Psychiatrist/MD)
Release of Information Form (If you would like PRA to communicate with outside agencies, schools, or PCP – you will need one for each separate contact)
For Dr. Woods NEW Patients (Please print additional forms below)
Parent Questionnaire (For patients 18 & younger)
Practice Guidelines for Dr. Woods
Behavioral Checklist (For patients 18 & younger)
Introduction Letter for Dr. Woods (For patients 18 & younger)
For Dr. Lee NEW Patients (Please print additional forms below)
Parent Questionnaire (For patients 18 & younger)
Practice Guidelines for Dr. Lee (Only if you are seeing Dr. Lee)
Introduction Letter for Dr. Lee (For patients 18 & younger)
For Dr. Raden NEW Patients (Please print additional forms below)
Parent Questionnaire (For patients 18 & younger)
Practice Guidelines for Dr. Raden (Only if you are seeing Dr. Raden)
Introduction Letter for Dr. Raden (For patients 18 & younger)
In addition, please download the following forms if they apply
For PRA Therapists Only Forms
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