At Tucker Psychiatric Clinic, we make every effort to streamline our new patient
registration process. There are informational forms which need to be filled out prior to
your first-time visit. You may fill out the forms while in our waiting room, or speed
the process by downloading the forms below or requesting that the forms be sent to you by mail,
and filling them out ahead of time at home.
To have the forms sent to you by mail,
contact us at (804) 320-7881 and request the forms needed for the first-time visit.
The following forms must be completed by all new patients:
Additionally, new patients who will see Dr. Jennings, will need to complete the following forms:
Please remember to bring the completed forms with you when you arrive. Thank-you.
The files above are available in .pdf format (Portable Document Format), which can be read
with the free Adobe Acrobat Reader. The Adobe Acrobat Reader is likely to be installed on your computer already.
If you need to install a new or updated copy of the reader, please click the Adobe Reader button, below.