Appointments
To set up a New Patient visit (adults 18+ only)
1.Please complete the New Patient Online Request Form, then call (512) 964-6992 and press Option 7 to schedule an appointment time.
2.When your appointment has been scheduled, please print out and complete Intake Forms (below) and bring them to your first appointment
with your insurance card, ID, medications,and any previous records.
3.Please arrive 30-40 minutes early to your appointment to fill out our Intake Forms (if you wish to fill them out at our location), and complete
the Computer Psychological Testing Your providers at CTMH utilize Computer Psychological Testing called AssessMD, which is important in assisting in determining a diagnosis, prognosis and treatment plan. Please see the Computer Psychological Testing Consent (AssessMD) Form below for details..
4.Currently we provide medication management services, not psychotherapy or counseling.
5.Prescribing Philosophy Note: We do not prescribe high dose of stimulants or high dose benzodiazepines, and normally not together at any strength. We also do not typically prescribe benzodiazepines to someone taking opiate pain medications such as hydrocodone, etc.
6.There is a processing fee for disability and leave forms of $95 per form (initial and any subsequent).
Complete Patient Form (9 Forms in 1)
1.Demographics Form
2.Office Policy
3.Notice of Privacy Practices
4.Acknowledgement of Receipt of Notice of Privacy Practices
5.Authorization for Release and Receipt of Information Primarily for Family Members / Personal Reasons
6.Computer Psychological Testing Consent (AssessMD) Form
7.Controlled Substances Therapy Agreement
8.Photo Consent Form
9.Optional Questionnaires
Complete Patient Form Word Doc File Size 4260 KB Complete Patient Form Adobe PDF File Size 5237 KB
Individual Forms
1. Demographics Form 2. Office Policy
Demographics Form Word Doc File Size 30 KB Office Policy Word Doc File Size 41 KB
Demographics Form Adobe PDF File Size 50 KB Office Policy Adobe PDF File Size 68 KB
3. Notice of Privacy Practices 4. Acknowledgement of Receipt of Notice of Privacy Practices
Privacy Practices Word Doc File Size 55 KB Acknowledgement Receipt Word Doc File Size 484 KB
Privacy Practices Adobe PDF File Size 53 KB Acknowledgement Receipt Adobe PDF File Size 457 KB
5. Authorization for Release and Receipt of Information
Primarily for Family Members / Personal Reasons
6. Computer Psychological Testing Consent (AssessMD) Form
Authorization Release Word Doc File Size 31 KB Computer Psychological Testing Consent (AssessMD) Form
Word Doc File Size 57 KB
Authorization Release Adobe PDF File Size 15 KB

Computer Psychological Testing Consent (AssessMD) Form
Adobe PDF File Size 65 KB

7. Controlled Substances Therapy Agreement 8. Photo Consent Form
Controlled Substances Therapy Agreement Word Doc File Size 55 KB Photo Consent Form Word Doc File Size 164 KB
Controlled Substances Therapy Agreement Adobe PDF File Size 52 KB Photo Consent Form Adobe PDF File Size 104 KB
9. Optional Questionnaires  
Optional Questionnaires Word Doc File Size 3505 KB  
Optional Questionnaires Adobe PDF File Size 2050 KB  
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