Hazel Approach Psych Services
  • Services
    • Services Provided
    • Group Therapy >
      • Dungeons & Dragons
    • ADHD FastTrack Assessment
    • What to Expect
    • Fees & Payment
  • About Us
    • Staff
    • Forms / Docs
  • Patient Portal
  • Contact / Refer

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​
Copyright © 2020 Hazel Approach Psychological Services, All rights reserved
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  • Services
    • Services Provided
    • Group Therapy >
      • Dungeons & Dragons
    • ADHD FastTrack Assessment
    • What to Expect
    • Fees & Payment
  • About Us
    • Staff
    • Forms / Docs
  • Patient Portal
  • Contact / Refer