If you are a new patient, please fill out the following form and email it back to newpatients@tuckerpsychiatric.com:

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• New Patient Form

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If you need to request records, please fill out this form (if sending to another provider, please include their fax):

• Medical Record Request

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

• Medication Form For School​

 

Please remember to email the completed forms to the email mentioned on the form or bring them with you to your appointment.