If you're a new patient please complete the following forms and bring them to your first session.

• Intake Forms (For Dr. Buda or Dr. Bremer)

• Intake Forms (For Nancy Gerrard, APRN)

 

If you would like us to coordinate care with another provider (for example, primary care physician, etc.), complete this form to authorize release of your psychiatric information:

 

• Authorization for Release of Information (For Dr. Buda or Dr. Bremer)
   
• Authorization for Release of Information (For Nancy Gerrard, APRN)

 

TELEHEALTH Consent Forms:  Buda Bremer Form      Nancy Gerrard Form

 

Copy of full Notice of Privacy Practices  

 

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