Richard Heidenfelder M.D.
"Things do not change; we change"-Thoreau
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patient forms/resources

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*New Patients:  please download and complete the Intake Forms listed below.
*You may email the completed Intake Forms or print the completed forms to bring to your initial evaluation.
-We prefer that new patients send us their completed intake forms prior to their appointment.

Resources:
http://www.nami.org
National Alliance on Mental Illness
http://www.mentalhelp.net
Mental health and wellness education and advocacy.
http://www.aacap.org
American Academy of Child and Adolescent Psychiatry

New Patient Form
File Size: 246 kb
File Type: pdf
Download File

HIPAA Privacy Notice Form
File Size: 88 kb
File Type: pdf
Download File

Office and Financial Policies Agreement (for Private Insurance and Self-Pay patients only)
File Size: 118 kb
File Type: pdf
Download File

Richard Heidenfelder, M.D.  · drh.office447@gmail.com  phone: 619-435-4088/fax: 619-363-4642