This page contains the documents most commonly used by the Maryland Anxiety and Depression Treatment Center. If you are a new patient, please review the forms carefully, as you are asked to fill them out and sign them before your intake evaluation begins.
Please be aware that some of the forms ask more open-ended questions to help you to start thinking about topics that are important to your intake evaluation, and these forms may take some time to complete.
All forms are in PDF format and can be viewed with a PDF reader such as Adobe Acrobat. All fields except the Signature field can be filled in on your computer prior to printing, or you can print the forms and fill them out by hand.
A compilation of forms to fill out and bring to your first appointment. All patients must fill out all forms in this packet, but some must also fill out the forms below. The packet also includes a copy of the Notice of Privacy Practices for your own records.
A form allowing us to speak about your history or treatment with someone other than you. For example, we often find it helpful to speak with a previous provider to obtain records, and sometimes we are asked to give updates to a person's spouse or a close family member. This form is optional, but most patients choose to sign at least one release form and bring it to their first appointment.
Dr. Brown does not participate in Medicare. All patients with Medicare benefits who choose to see Dr. Brown are legally required to sign a contract that explains this in more detail. Other patients do not need to complete this form.
Describes how we do and do not use your health information in order to keep your information confidential, as well as the limits to this confidentiality as required by law. Please hold onto this for your own records