The following forms must be completed by all new patients:

​

• Patient Registration, Client Information Exchange 

• Tucker Psychiatric Clinic Privacy Policy 

​

Update forms for existing patients:

​

• Patient Registration, Client Information Exchange

​

If you need to request records, please fill out this form:

• Medical Record Request

​

If you need a medication form for school, please fill out this form:

• Medication Form For School

​

Additionally, new patients who will see Dr. Jennings will need to complete the following forms:

​​

• General Information Form 

• Initial Evaluation - Medications List 

• Initial Evaluation - Psychiatric Symptoms Checklists 

• Adult Attention Deficit Disorder Symptoms Checklist 

 

Please remember to bring the completed forms with you when you arrive.