Forms and Handouts

Forms and handouts for both our new and established patients to keep for their records.

Privacy Notice

Your rights as a patient and an explanation of HIPPA compliance.

New Patient Paperwork

For patients who have not been seen at our office, please feel free to get ahead of the game and print/complete our required paperwork in preparation for your first appointment.  

Release of Information to personnel

This release of information is for our patients who want to give any persons other than themselves permission to disclose/release any information. 

Release of Information for provider or other facility

This release is to obtain or disclose information to other healthcare facilities and providers. This is not a release for family members or other personnel. New patients, please fill out and bring to the office so we may obtain records from your previous practice.

This form is to consent to engage in telehealth/telemedicine services with Coastal Medical and Psychiatric Services providers and therapists.

This form is to consent to communication and coordination of care between your provider and your PCP.

This form is to consent to receive electronic communication from CMPS including text messages, emails, etc.

This form is to outline the office policy on benzodiazepine and controlled substance prescriptions.