Do not use these forms for forensic services, e.g., child custody and parent time evaluations, parent coordinator services. Go to the Forensics Forms page to find forms for these services.
Right click the icon below the title of the form you wish to open, then click on Open Link.
Information about Dr. King's Procedures (required for child patients only)
Patient Information (required for all patients)
Insurance Information (required only if insurance is to be billed)
Informed Consent (required for all patients)
Financial Agreement (required for all patients)
Child Developmental/Medical History (required for child patients only)
Referral Concerns (required for adult patients)
HIPAA Notice (to be read only, signature is not required, you do not need to print this form unless you would like to have a copy for your records)
HIPAA form to request alternate handling of communications to you (to be completed only if you do not wish to receive mail from Dr. King at the address you list on your Patient Information form, i.e., if you would like mail to be sent to an alternate address for confidentiality reasons)
