Piece By Piece: Neurobehavioral Services

If you do not have access to an email or fail to receive our forms following our call scheduling your appointment, please print and fill out the following documents and bring to your initial appointment (or send via fax/email, if available).

Please read over our Privacy Policy, and complete the following pre-visit forms (available in Spanish):

Pre-Visit Forms

HIPAA Privacy Policy

Informed Consent

Release of Information

Release of Report

Aviso de Prácticas de Privacidad

Consentimiento Informado

Divulgación de Información

Publicación del Informe de Evaluación