Helpful Information, Forms, and Support Resources
Resources
We’ve gathered commonly requested documents, patient resources, and helpful information in one convenient location.
If you cannot find what you are looking for, please contact our team and we will be happy to assist you.
Patient FOrms
Review of Systems
A health history form used to help your doctor understand symptoms that may be relevant to your care.
Medical Records Release
Use this form to authorize the release or receipt of protected health information.
Practice Policies and Notices
Office Policies and Procedures
Important information about appointments, cancellations, telehealth, prescriptions, confidentiality, and practice policies.
HIPAA Notice
Information about privacy practices and how protected health information may be used or disclosed.
Notice to Psychotherapy Patients
Required notice for psychotherapy patients receiving care from a Licensed Marriage and Family Therapist.
Heid Health Consent Form
Consent information regarding the use of Heidi to assist with clinical documentation.
Patient FOrms
Depression Screening for TMS
Standardized questionnaire for screening and measuring depression severity
Community Resources
Mental Health Organizations
Trusted organizations providing education, advocacy, and support.
- Many commercial insurance plans accepted
- Anxiety & Depression Association of America
- Mental Health America
- International OCD Foundation
Insurance support is part of making care accessible
Insurance and Courtesy Billing
We know cost and insurance questions can be stressful. Our team will help make the financial side of care as clear as possible and help you understand what information is needed before treatment begins.
Adelpha accepts many commercial insurance plans and also offers courtesy billing for out-of-network patients. For patients using out-of-network PPO benefits, our courtesy billing service can help reduce the burden of submitting superbills independently.
- Many commercial insurance plans accepted
- Courtesy out-of-network billing available
- Cash pay accepted
- Insurance and reimbursement questions reviewed before care begins
- Good Faith Estimate information available for eligible patients
If you are unsure where to begin, reaching out is a reasonable first step.
Adelpha provides thoughtful, comprehensive psychiatric care for patients and families who want clear guidance, qualified support, and care that sees the whole person.