Please download, print and fill out the forms a best you can.  Dr. Sethre will go over them with you at the beginning of your first appointment to explain when they are necessary and answer your questions.

 

 

Forms for new patients receiving general psychological services

 Intake form

 Informed Consent Form

ROI (authorization to release/obtain protected health info , for coordinating with other clinicians)


Forms for new patients receiving specialized bariatric services

 Intake form

 Informed Consent Form

ROI (authorization to release/obtain protected health info, for coordinating with other clinicians) Please complete one from for each medical clinician/program that you want Dr. Sethre to exchange info with.

Bariatric Intake Form – Provides information for the first appointment

Bariatric Update Form– Provides updated info when a patient previously seen by Dr. Sethre needs an updated report.


Forms for patients interested in video appointments (“telepsychology” or “telehealth” services)

 Intake form

 Informed Consent Form

Telepyschology Informed Consent form

ROI (authorization to release/obtain protected health info, for coordinating with other clinicians) Please complete one from for each medical clinician/program that you want Dr. Sethre to exchange info with.