Outpatient Forms

Welcome to Healthy and Happy America Corporation! We are delighted and honored that you have chosen us as your psychiatric service providers. We are committed to providing you with the best possible care, and hope to form a partnership with you to work toward your mental health goals, no matter what your current state of health. By sharing our mental health expertise with you, we hope to become an invaluable part of your quest for well-being.

Our new patient registration forms and consent forms are available for download here, or in our office when you arrive for your first appointment. We ask that you complete these forms before your visit if possible. Please bring the completed forms, along with your insurance card, government-issued ID and payment, to your first visit. If you choose to complete the forms in the office before your first appointment, please arrive 15 minute prior to your appointment time. The new patient packet you will fill out is a way for you to introduce yourself to our practice, and provide valuable information to our staff. Your answers to each of the questions will help our physicians and clinicians in assessing your mental condition. After signing in for your first appointment, you will receive a copy of your completed forms along with a receipt.

Software you’ll need

To view and print our office forms you’ll need to have Adobe Reader software installed on your computer. We recommend that you upgrade to the current version of Adobe Reader if you have not done so already.

Adobe Reader XI can be downloaded free at: http://get.adobe.com/reader

Your web browser may be configured with an Adobe Reader plug-in to automatically open PDF files in a browser window when accessed. We recommend that you save the PDF file to your computer and access the file locally. This allows the full Adobe Reader application to interface with the form. To download the file directly to your local drive, right click on the button, then select “Save Target/Save Link As…” from the menu. You can then use Adobe Reader to open the file.

 

Printing the forms

Open the form using Adobe Acrobat Reader or Adobe Acrobat. Go to “Print,” either in the “file” menu or by selecting the print icon. Once the print dialogue box is open, select the “fit to page” option. This ensures that the page you see on the screen will correspond to the page printed by your printer. Once you have printed the forms, please complete them with a dark pen, date, sign, and bring them with you to your office visit.

HAHA New Patient Registration Forms

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HAHA Insurance Update Form

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HAHA Identity Theft Prevention Policy

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HAHA Email Consent

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HAHA Sign-in Sheet

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