HAN Legal

Patient Forms

Before you arrive for your initial appointment with Dr. Wynne, please download, print, read and complete the following forms:

 

  1. Patient Information - (Word Document Word Document - 29KB)

  2. Psychiatrist-Patient Services Agreement - (Word Document Word Document - 36KB)

  3. Release of Healthcare Information - (Word Document Word Document - 24KB)

 

Please bring these completed forms with you to your first appointment. 

We require that you call us one (1) business day prior to your first appointment, so you can reserve your appointment time.  

Thank you.

Dr. Wynne at her Desk