© 2016 MindHope of Oviedo Private Medical Practice For Psychiatric Evaluation and Treatments.  All rights reserved







​​NEW PATIENT INFORMATION PACKET




  • WELCOME LETTER
  • NEW PATIENT INFORMATION
  • PATIENT FAMILY AUTHORIZATION FORM
  • ACKNOWLEDGEMENT OF PRIVACY PRACTICES 
  • PATIENT FINANCIAL AGREEMENT
  • PART I: UNIVERSAL PATIENT AUTHORIZATION FORM 
  • PART II: GENERAL EXPLANATION OFFORM FLORIDA AHCA FCA200-004
  • OFFICE POLICIES
  • GENERAL INFORMATION ON OFFICE PRIVACY PRACTICE
  • ​WARNING: ONLY print pages 2 through 10











MINDHOPE OF OVIEDO​

Where Transformation Begins By Touching Lives Forever