If you’re a new patient, these tips can help you make the most of your visit while saving time.
For your first visit you will want to arrive 30 minutes early in order to allow for enough time to fill out the new patient paperwork.
You can download and fill out these documents to facilitate your first check. Patient Information | Patient Intake form | Current Medications list, Lista de Medicamentos (ES) | Child Health Questionnaire
This also applies for your first visit with the PMHNP as there will be additional paperwork to fill out (see below) prior to that appointment.
Please bring your insurance card to your first visit at the clinic and be sure to let us know when your insurance provider changes. Please also bring a list of your medications or bring the bottles if that is easier.
If there is anyone else in your life who you believe could offer important information to your provider during your visit, please feel free to bring them along. If you want anyone else, a family member or another healthcare provider or therapist, to be able to communicate with your provider please be sure to sign a Release of Information (ROI) today.
The ROI tells us you’re okay with us communicating with these particular people about your care. You are free to revoke that ROI at any time.
For your first mental health visit you will need to complete the following paperwork. You can download and fill out these documents at home.
If you are a current Canby HealthCare Clinic patient but this is your first time seeing a mental health provider in this clinic, please fill out the appropriate intake paperwork found below:
If you are a new patient and this is your first time at Canby HealthCare Clinic, please fill out the appropriate paperwork found below:
If you are being prescribed any controlled substances such as medications such as Adderall, we will require records prior to your appointment. This can cause delays and therefore having these records in advance would help expedite the process. Continuation of these medications would be at the discretion of the prescriber and receiving records is not a guarantee for refills. We will not continue any opiates or benzodiazepines for chronic pain management or anxiety including but not limited to tramadol (Ultram), codeine, oxycodone, hydrocodone, lorazepam, clonazepam, etc.