Forms

Please complete the appropriate forms prior to your appointment.  

Be sure to bring your health insurance card to the appointment.

Please complete forms and bring to your intake appointment

For medication management appointment with Dr. Bartz:

Online Forms

Provider Referral Form

For a psychotherapy or neuropsychological assessment appointment:

Online Forms

For Telemedicine Appointments

Online Forms

For Your BE-Care (Behavioral Express Care) appointment

The following forms are for your review (No need to bring to the appointment)