Patient Forms


Below is a list of our Center’s patient forms that are available for download. If you have any questions or concerns when filling out this paperwork, please call us at (813) 974-8900.

Initial Visit Paperwork

Please bring these forms, completely filled out, 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 have authorization to speak with someone outside of USF Health about your child, such as a therapist, teacher, or other medical provider, please complete the release of information form below. You can bring this form to your child’s next appointment, fax it to (813) 974-1131, or mail it to us at 3515 E. Fletcher Ave., Tampa, FL 33613.