Dr. Arshia Alec Shirzadi
Board Certified Psychiatrist

Download Forms

Prior to coming in for your initial visit, please take a few minutes to download, print, complete and sign the forms provided below. 

Please bring these forms with you to our initial meeting. 

 
Client Information Form - This form requests basic demographic information,
contact information, and any emergency contacts you may have.  Please complete the form before arriving for your initial evaluation.


Insurance Information - This form will provide me with information regarding your health insurance provider.   Please consult your insurance provider regarding their mental health benefits and their policies regarding out-of-network providers.


Treatment Consent Form - This form outlines my services, policies and procedures.  Please review the terms listed in the document, sign, and bring with you to your first appointment.


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