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

SLP Intake Paperwork

SLP Office Policies updated 2023

Telehealth Consent Form

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)

 

Medicare Opt-Out Private Contract Forms

Buda Medicare Opt-Out 

Bremer Medicare Opt-Out

 

Copy of full Notice of Privacy Practices  

Notice of Nondiscrimination

 

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