Forms used by Dr Melody Snider Serenity Neuropsychology and Counseling - Idaho Serenity Neuropsychology & Counseling

If you are unable to print and complete the forms prior to your appointment, we will need you to complete them at our office. Please leave a message indicating this need and arrive a minimum of 75 minutes prior to your appointment to allow time. We are also happy to mail them if there is adequate time prior to your intake to do so.

Please be advised, if your forms are not completed by the time your appointment is scheduled to begin, we will need to reschedule. Dr. Snider needs approximately 2 1/2 hours to do a thorough intake for evaluations and 1 1/2 hours for an initial counseling appointment. Please plan accordingly.

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Patient-Psychologist Agreement Form

Registration Form

Health Screening Form

COVID-19 Informed Consent for In Person Treatment

Telehealth Informed Consent--Counseling Patients ONLY

Notice of Privacy Practices-HIPAA

Notice to all patients: Complete the following Authorization/Release Form if you wish to have your records released to or obtained from anyone. If you have questions about releasing your records or about how to complete this form, we will be more than happy to assist you at your initial appointment. If you are being referred by a physician, please know your physician typically requests records be sent to them, particularly if you are being referred for psychological or neuropsychological testing.

Authorization/Release Form

Serenity Neuropsychology PLLC

M Snider PhD