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Patient Forms

Thank you for choosing The Center for Behavioral Medicine as your provider for behavioral health services. Please complete and return the necessary paperwork to our main office (in Palo Alto), at least two business days prior to your first appointment.

New patients should submit the following questionnaires/forms:

  1. Adult Intake Form (if applicable)
  2. Child/Teen Intake (if applicable)
  3. Current Medication Record
  4. Consent to Release Information

If you have any questions about our questionnaires/forms, please feel free to contact Angelica, at our main office by calling (650) 856-0406.


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