Forms

Forms for New Patients

If you are new to Dr. Robinson's practice, please complete the following forms prior to your first session. These forms can also be completed during the initial session.

• Adolescent Intake Form
• Adult Intake Form
• Mandatory Disclosure
• Parent Financial Agreement
• Telehealth Consent

Release of Information

If you would like Dr. Robinson to be in contact with any of your current or past providers, please complete the Release of Information form below. Please complete a separate form for each provider.

• Release of Information