Please print, complete, and bring ALL required documents to your initial appointment.
Patients who do not show to their initial appointment will NOT be rescheduled.
Please type and print, or use black or blue ink pen to complete.
Checklist of items to bring to your appointment:
- Completed Forms (printed off as Single Sided only)
- Photo ID
- Current Insurance Card(s)
- Copay
- Current Medication List
Registration Paperwork
REGISTRATION PAPERWORK is required for all new patients of North Springs Psychiatry. Please fill out paperwork completely and legibly, and bring it with you to your initial appointment. Our privacy information is also included.
Credit Card Authorization Form
The CREDIT CARD AUTHORIZATION FORM is required for all new patients of Amanda Batterbee, PMHNP. Please fill out paperwork completely and legibly, and bring it with you to your initial appointment. This form will be locked securely and kept in file in case of no show.
Patient Questionnaire
The PATIENT QUESTIONNAIRE is required for all new patients of Amanda Batterbee, PMHNP. Please fill out paperwork completely and bring it with you to your initial appointment.