OFFICE FORMS

To make a first time appointment, complete the New Patient Information Form (select either the word or pdf version), then fax or email it to us. After we receive your form, we will call you to schedule an appointment:

New Patient Information Form         or      New Patient Information Form  

Below are forms that contain important information about the practice of Dr. Sheila Jenkins:

Office Policies
Informed Consent Form
HIPPA
Website Policy

SCREENING FORMS

These screening forms were developed by Dr. Jenkins to give you a starting point for determining your mental health symptoms that might need to be addressed with your mental health provider or physician. These are not diagnostic tests that indicate you have a diagnosis. After completing, take the form to your provider so you can share important information about how you are feeling and what you are experiencing.

Anxiety Self-Assessment
Depression Self-Assessment
Teen Substance Abuse Self-Assessment
Adult Substance Abuse Self-Assessment