Texas Psychiatry Associates
  Texas Psychiatry Associates                                              

Office Forms

Adult New Patient Package
For Patients of 18yrs+
Adult New Patient Paperwork.pdf
Adobe Acrobat document [2.8 MB]
Children/Adolescent New Patient Package
For Patients less than 18yrs
Child-Adoles New Patient Paperwork.pdf
Adobe Acrobat document [320.8 KB]
Parent Symptom Questionnaire
Parent Symptom Questionnaire.pdf
Adobe Acrobat document [457.4 KB]
Teacher Behavioral Evaluation Scale
Teacher Behavioral Evaluation Scale.pdf
Adobe Acrobat document [1.0 MB]
Teacher Questionnaire
Teacher Questionnaire-Elementary School.[...]
Adobe Acrobat document [914.8 KB]
Consent to Discuss with Patient Parents
For Patients over the age of 18yrs.
Consent to Discuss PHI.pdf
Adobe Acrobat document [127.6 KB]
Authorization to Send Information to Our Pharmacy
For controlled medications to be sent to our pharmacy for home delivery
Pharmacy Authorization.pdf
Adobe Acrobat document [134.7 KB]

Needing To Get A Copy Of Your Medical Records?

Please fill out a Release of Information (ROI) below and send it back to our office. 

If you are needing a copy for yourself, please fill out the "From TPA to other Facility" ROI. When sending medical notes to another Doctor's there is no charge for 20 pages or less. 

When obtaining a copy for personal records, there is a $25 fee for the first 20 pages, 0.25₵ each for every page after that. Pick-up in the office there is no additional charge, if needing it to be sent to you, there is an additional $8 fee.

*Please Note: There is a two week time frame for records to be processed, approved, and sent out. We CANNOT Fax Records.*

Release of Information
ROI-Another Facility to TPA.pdf
Adobe Acrobat document [134.4 KB]
Release of Information
ROI-From TPA to other Facility.pdf
Adobe Acrobat document [134.4 KB]

Texas Psychiatry Associates, P.A.

 

Address

3417 Spectrum Boulevard

Suite 200

Richardson, TX 75082

 

*We closed our Flower Mound office in August 2016. That location is no longer associated with our practice.*

 

Phone 

(972) 478-0322

(817) 684-2710

 

Fax

(972) 907-1187

 

E-mail

info@innovatedminds.com

 

Office Hours

Monday-Friday

9:00AM-5:00PM

Closed for lunch everyday from 1:00pm-1:30pm.

 

Texas Psychiatry Associates sees patients by appointment only. Please call or fill out the form on our website in order to request a New Patient Appointment.

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