Dr. Terhakopian is dedicated to providing you with the highest quality and cost-effective medical care.

 

If you are a new patient, please complete the documents below and either print and bring them to your first appointment or email them to ashtyn@at-psychiatry.com. If you do not have access to a printer or are unable to email the forms, please arrive 15-20 minutes early and you will be given copies to complete at your first visit. Thank you.  

Intake / History Form

Treatment Consent for Psychiatric Services

Authorization to Release/Exchange Confidential Information

Depression/Anxiety/Substance Use Measures

FORMS