Our Downloads

ADHD FORM

Adult ADHD Self-Report Scale Symptom Checklist

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AVISO DE LAS PRACTICAS DE RIVACY

Aviso de las practicas de la privacidad (en espanol)

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DEMOGRAPHIC

Standard demographic form. Print this out and fill in before coming to Dr. Felker's office.

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DEPRESSION FORM

Patient Health Questionnaire - Nine Symptom Depression Checklist

(Adobe acrobat file - Adobe Acrobat required)

LEGALS

Notice of Privacy Practices - Patient Acknowledgement Form. Print this out and fill in before coming to Dr. Felker's office.

(Microsoft word file - Microsoft word required)

MEDICAL RELEASE FOR RECORDS

Standard medical release form. Print this out and fill in before coming to Dr. Felker's office.

(Microsoft word file - Microsoft word required)

MEDICATION LIST

Current medication list. Print this out and fill in the area highlighted in green before coming to Dr. Felker's office.

(Microsoft word file - Microsoft word required)

NOTICE OF PRIVACY PRACTICES

Notice of privacy practices. This notice describes how medical information about you may be used and disclosed and how you can get access to this information - Please review it carefully.

(Microsoft word file - Microsoft word required)

PAIN FORM

Patient Comfort Assessment Guide

(Adobe acrobat file - Adobe Acrobat required)