The Healthy Mind Center
The Healthy Mind Center
  • Home
  • About Us
  • FAQs
  • Dropdown menu
    • Office Policies
    • New Patient Packet
    • Contact Us
  • More
    • Home
    • About Us
    • FAQs
    • Dropdown menu
      • Office Policies
      • New Patient Packet
      • Contact Us
  • Home
  • About Us
  • FAQs
  • Dropdown menu

Packet for New Patients

Please print and complete ALL of the forms listed below before the initial evaluation.  

You MUST bring all of the completed forms and a valid government issued ID to the first appointment with Dr. Kwon.  Please carefully read the policies for medications.  There are additional forms that apply to suboxone treatment.

HMC Credit Card Authorization Form (pdf)Download
HMC HIPAA signature Form (pdf)Download
HMC Patient History Form.doc (pdf)Download
The Healthy Mind Center Tx Auth Form final (pdf)Download

Policies for Medications

Files coming soon.

Medication Assisted Treatment : suboxone

Files coming soon.

                                                  






Dr. Kwon  


dr.kwon@thehealthymindcenter.com    

                                             

 

Jamie Stodola jstodola@thehealthymindcenter.com                                                                                     


    

                                                  

                     

  • Home