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Psychiatry

Request Appointment

(813) 974-8900

Refer a Patient

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.

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.

Please note that minors must be accompanied by a biological parent or legal guardian. If the person accompanying the child is a legal guardian, paperwork showing the person’s capacity to consent for care must be presented at the time of the appointment. Similarly, if either biological parent has lost the right to consent for medical care, this legal documentation should be presented at the time of your visit.

Symptom Rating Scales

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

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.

Neurotherapies Clinic (TMS, ECT and VNS)

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.