Please select and complete the forms below, which apply to you. New patients are asked to bring their registration forms to their first appointment. Other forms can be faxed to us at 912-489-1630.
- Savannah Patient Registration
- Statesboro Patient Registration
- 2018 Savannah Patient Registration Update
- 2018 Statesboro Patient Registration Update
- Authorization to Release Records
- Insurance Form
- Credit Card Authorization Form
- PHQ-9 (Patient Health Questionnaire)
- HIPAA Notice of Privacy Practices
- Patient Privacy Form
- Medicare Benefit Waiver
- Medicaid Benefit Waiver
- Tricare Benefit Waiver
- Child ADHD Rating
- Adult ADHD Rating
- Child and Adolescent Booklet
Visit & Policies
The purpose of the initial evaluation is to obtain a detailed history for an accurate assessment. At times, your provider may need to obtain additional information from other health care professionals and, in the case of minors from teachers, before generating a diagnosis and/or recommendations.
Upon the conclusion of the evaluation, your provider will discuss his/her assessment and impressions with you, and make recommendations regarding the need for follow-up, medications and/or psychotherapy. Often psychotherapy is a helpful adjunct to medication or an effective stand-alone treatment.
Based on the evaluation, your provider will have our staff schedule follow-up visits for you. These visits may be more frequent during the initial phase of treatment. If medication is prescribed, your doctor will monitor your response to the medication, and monitor for side effects during follow-up visits.
For your benefit, a covering provider will be available for important issues after office hours via phone. The on-call provider can be reached by calling 912-531-4886. This number is also listed on our office voicemail message. For emergencies of an immediate nature, please call 911 or go directly to the emergency room at the nearest hospital.
Our office does not routinely change/modify prescriptions over the phone. Please schedule an appointment if a medication change is needed.
To ensure that you have your medications in a timely fashion, please call your pharmacy at least 2 business days before it is needed. For these standard refills, please do not call the office. Please note, if you need a medication refill, but have missed and are overdue for an appointment, you will most likely need to be seen before a refill request can be approved.
- Controlled Substances/Stimulants: Can now be requested by your pharmacy and e-prescribed. Please call your pharmacy for refills at least 2 business days before needed.
Please plan ahead to avoid running out of medications over the weekend or after hours. When necessary, emergency weekend prescriptions are given for no more than 7 days of medication. For controlled substance refill after hours, no more than a 5 day supply will be refilled by the on-call physician to cover you until you are able to contact your treating physician.
We are glad to help you with your mail-order prescription services. Please note, as with other medication refills, we will only be able to provide these 90-day prescriptions if you are current with your appointments.
Always discuss any changes or side effects from medications with your doctor. If problems occur with a medication, please contact our office.