Loveinstead Holistic Care LLC
Loveinstead Holistic Care LLC
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  • Services
  • Contact
  • Insurance
  • Patient Forms
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  • Book Online with Zocdoc
  • More
    • Home
    • Services
    • Contact
    • Insurance
    • Patient Forms
    • Resources
    • FAQ's
    • Book Online with Zocdoc
  • Home
  • Services
  • Contact
  • Insurance
  • Patient Forms
  • Resources
  • FAQ's
  • Book Online with Zocdoc

Welcome to Loveinstead Holistic Care LLC

Patients ages 18 and older please complete the Adult Intake Form, HIPAA Authorization and Consent to Treat & Evaluate prior to your first appointment. Children up to 17 yrs old please complete the Child Intake Form, HIPAA Authorization and Consent to Treat & Evaluate. The forms below can be downloaded and printed.

PAtient Forms

Adult Intake Form (pdf)

Download

Child Intake Form (pdf)

Download

Consent to Treat & Evaluate (pdf)

Download

HIPAA Authorization - Release of Health Information (pdf)

Download

After scheduling your initial appointment, your Provider will guide you on which Patient Questionnaires to fill out and complete. The forms below can be downloaded and printed.

Patient Questionnaires

PHQ-9 Questionnaire (pdf)

Download

MDQ Questionnaire (pdf)

Download

Y-BOCS Questionnaire (pdf)

Download

PCL-5 Questionnaire (pdf)

Download

GAD-7 Questionnaire (pdf)

Download

Perceived Stress Scale Questionnaire (pdf)

Download

Copyright © 2024 Loveinstead Holistic Care LLC - All Rights Reserved.

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