Patient Forms

Salience Health is ready to surround you with a dedicated care team committed to your health and happiness. Just fill out the forms below and have them ready for your initial appointment. Patients are required to complete and submit the applicable forms below prior to the scheduled appointment time, or the appointment may be rescheduled.

patient-forms-checklist

IMPORTANT

Psychiatric Care Forms

  • Do not complete these forms more than 14 days in advance of your appointment
  • These forms can be completed online or on your mobile device. Please note these forms cannot be printed
  • Please avoid closing your browser window until the final submission of the data is complete. If you accidentally close your browser window before finishing you will need to come to our office and complete the forms prior to your appointment

These forms must be completed online. Completed forms are submitted electronically and privately to your doctor. Please read all the requirements above before you begin.

Psychiatric Care Forms

Psychiatric Care
New Patient Form

Psychiatric Care
Follow Up Form

Therapy Forms

Therapy
New Patient Form

Therapy
Follow Up Form

Primary Care Forms

Primary Care
New Patient Form

Primary Care
Follow Up Form