JAMESPARKSMD.COM

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JAMESPARKSMD.COM

JAMESPARKSMD.COMJAMESPARKSMD.COMJAMESPARKSMD.COM
  • Home Page
  • Office Information
  • Forms

Downloads

Prior to coming in for your initial visit, please take a few minutes to download, print, complete, and sign the forms provided. You can either mail them to the office or bring them with you to your appointment. Do not e-mail forms as this is not a secure way to submit your personal information. In order to view and print the forms, you will need a free program called "Adobe Reader" installed on your computer. You can visit www.adobe.com and download the free software.

Dr. Parks Introduction Letter (pdf)Download
Dr. Parks Office Policies and Procedures(1) (pdf)Download
Dr Parks_Notice of Privacy Practices (pdf)Download
Dr. Parks Treatment Consents (pdf)Download
Dr. Parks Confidentiality of Practice (pdf)Download
Dr. Parks Authorization to Release Info (pdf)Download
Adult New Patient Registration (pdf)Download
Dr. Parks New Patient Registration (pdf)Download
Dr. Parks Child and Adolescent Intake Questionnaire (pdf)Download
Dr. Parks Behavior Rating Scale- Teacher Form (pdf)Download
Dr. Parks Behavior Rating Scale - Parent Form (pdf)Download

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