Forms for ADD Treatment, Depression Treatment, & More in Odessa, TX

To prepare for your visit in advance, please print out the forms below and fill them out prior to your appointment. This will expedite the process and save valuable time. New patient appointments take approximately 2 hours. A temporary deposit fee applies for all New Patients which is refunded towards your first visit – Provided there are no changes to the appointment. (No Show, Rescheduled, Cancelled Appointments, or Last Minute Insurance Changes)

Child Forms  (17 & Under)

Adult Forms   (18 & Up)

Patient Registration
Medical History
Appointment Cancellations/No Show Policy
Release for Minors
Controlled Substance Agreement

Behavioral Checklist for ADHD Children
Parents Questionnaire
Teachers Questionnaire

What to Bring:

Insurance Card - Primary and Secondary if Applicable
Driver's License or Photo ID of person finacially responsible
Filled Out Paperwork

Optional Forms/Documents:

Guardianship Papers
Any Past Psychological Testing/Medical Papers

 

Patient Registration
Medical History
Appointment Cancellations/No Show Policy
Release for Adults
Controlled Substance Agreement

Behavioral Checklist for ADHD Adults (Optional)
Adult Self-Report Scale (ASRS) Symptom Checklist (Optional)

What to Bring:

Insurance Card - Primary and Secondary if Applicable
Driver's License or Photo ID of person finacially responsible
Filled Out Paperwork

Optional Forms/Documents:

Any Past Psychological Testing/Medical Papers



 
**DO NOT TAKE ANY ADD/ADHD MEDICATION ON THE DAY OF YOUR APPOINTMENT SO WE CAN TEST YOU**