I am looking forward to meeting you at your scheduled appointment! These forms will be emailed to you prior to the appointment in an pfd fillable format and I ask that you return the completed forms a day or two prior to your scheduled appointment. The forms are in pdf format below in case there was difficulty getting you the forms.    I look forward to meeting with you.  Thank You!

Forms

Child/Adolescent

Child History Questionnaire

Adult

Adult History Questionnaire

Consent Forms, Privacy Policies and Procedures

Initial consent forms/Financial Responsibility/HIPPA Privacy/OT Contract/Telehealth and In-person informed consent with signature page

Additional Forms

 Release of Information (for Dr. Edwards and another provider to communicate – eg, pediatrician, psychiatrist, etc.)

 

Humana Provider

(Dr. Edwards does not participate in the following Humana plans: KY Medicaid or Medicare)

 

Brochure