Hazel Approach Psych Services
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Downloadable Forms/Docs

​​New Patient Registration  (Printable Form): New Patient Registration.pdf
Intake Questionnaire for Neuropsychological Testing Form: Click Here
Authorization to Obtain Protected Health Information from Another Provider Form: Click Here
Informed Consent for Juvenile Assessment Form: Click Here​
Medicare Request for Repayment Form: Click Here​
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  • Home
    • Evaluation & Assessment >
      • ADHD FastTrack Assessment
    • Individual & Group Therapy >
      • Dungeons & Dragons
      • Group Therapy
    • Supervision & Consultation
  • About Us
    • Staff
    • Fees & Payment
    • Forms / Docs
  • Patient Portal
  • Contact / Refer