Psychiatric Medical Associates, P.A.

​​​Release / Consent Forms

• Release of Personal Health Information / Medical Records
  
• ​Telemedicine Consent Form
  
• Payment Plan agreement with credit card authorization

New Patient Forms 

• New Patient Forms (Psychiatry)
  
• New Patient Forms - Saumil Mehta MD PLLC (Internal Medicine)

• Office Policies
• HIPPA Policy - Notice of Privacy Practices
• Credit Card On File Policy
  

call us : 972-267-1988

The completed and signed forms can be either faxed to Fax # 972-267-3434 or emailed to documents@pmaplano.com

​This email address is strictly for sending any forms or paperwork only.  For appointments or any other inquiries, please call our office at 972-267-1988. 

New Patient Forms for Psychology

• Psychology Adult Intake Forms  
  
• Psychology Adolescent Intake Forms
• ​Psychology Parent / Guardian Intake Forms
  

​  Office Policies and Forms