Forms & Consents
Securely complete your patient forms online through our HIPAA compliant portal. Simply click on the link provided and follow the easy steps to fill out your forms prior to your appointment. This will save you time and ensure that we have all the necessary information to provide you with the best care possible.
***Please complete the forms below after insurance has been verified and your appointment has been scheduled:
Policies & Procedures
To ensure a seamless visit to our office, we kindly ask that you take a moment to access our office policies and procedures, including important consents, by clicking the link below. Please review and sign these materials prior to your first appointment, as it will help us to provide you with the best possible care.
Patient Demographics
Complete our patient demographic form prior to your first appointment to ensure that we have accurate information on file. The form includes sections for your contact information, insurance details, and uploading your card. Click on the link below to securely and conveniently fill out the form online.
New Patient Intake Form
New patient? Please take a moment to fill out our comprehensive intake form which includes questions about your current situation, health, medication, and psychiatric history. Don't worry if you don't have all the answers - just fill out what you can. Kindly complete this form 24 hours prior to your first appointment.
Paper Forms
If you prefer to fill out the forms by hand, please email us by clicking the link below or at office@gerontologi.com and we will be happy to send you copies of the forms. Please note that completing the forms electronically is the fastest and most secure way to transmit your information to us. If you choose to fill out the forms by hand, please bring them with you to your first appointment.