Patient Forms

Copies of our registration and new patient forms are available below for download. Please print and complete the forms relevant to your visit and bring them with you. If you have any questions regarding these forms, please do not hesitate to call us at 813-974-8900.

Psychiatry Clinic (Adult)

New Patient Paperwork

If you are a new patient to our main USF Health Psychiatry Clinic, please print both sets of forms below and bring them with you to your visit.

Memory Disorders Clinic

New Patient Paperwork

If you are a new patient to the Memory Disorders Clinic, please print both sets of forms below and bring them with you to your visit.

Neuropsychology

New Patient Paperwork

If you or your child are a new patient to our Neuropsychology program, please print and complete the respective form below and bring it with you to your visit.

Neurotherapies Clinic

Silver Child Development Center

New Patient Paperwork

If your child is a new patient, please print and complete both sets of forms below and bring them with you to your first visit.

Symptom Rating Scales

Your clinician may request that you complete rating skills periodically to help assess symptom level or progress.

Release of Information

If you want your clinician to speak to someone outside of USF Health about you or your child’s protected health information (PHI) please download the “Release of Information” form located at the bottom of this page.