PRACTICE INFORMATION AND CONSENT FORMS

NOTICE OF PRIVACY PRACTICES

This helpful document will give you all the information you'll need to understand how we handle and secure your confidential information.  Note that, upon visiting, you will be asked to sign a statement acknowledging that you understand the material here.  I will go over the important elements of the document with you in person, but I have provided the full text for your reference here.  I'd be more than happy to provide a paper copy, just ask!

TELEMENTAL HEALTH INFORMATION AND CONSENT FORM

This document details how I employ telemental health technologies to keep your privacy protected and your continuity of care consistent during remote sessions.

CONSENT FOR NEUROPSYCHOLOGICAL EVALUATION

This document gives me permission to perform a neuropsychological evaluation.

AUTHORIZATION TO OBTAIN INFORMATION

This form is required if I need to obtain medical records from your other medical care professionals. This will make sure we can have a team effort in your treatment.

AUTHORIZATION TO RELEASE INFORMATION

This form is required if I need to share information with your other medical care professionals.

 

HELPFUL INFORMATION AND PATIENT RESOURCES

HOW BRAIN TUMORS AFFECT THE MIND, EMOTION, AND PERSONALITY

Every person has unique experiences while dealing with brain tumors.  Learn what the different effects are, and how best to accomodate the changes.

More articles and resources coming soon!

 

Midtown Atlanta

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