Consent for Telepsychology
This form is required for updating patient information.
![GA Consent for Tele GA Consent for Tele](https://grayson.associates/wp-content/uploads/2020/03/GA-Consent-for-Tele.gif)
![New-Patient-Form-Newest New-Patient-Form-Newest](https://grayson.associates/wp-content/uploads/2019/09/New-Patient-Form-Newest.jpg)
New Patient Forms
This form is required to start seeing a Grayson & Associates clinician.
Update to Information Form
This form is required for updating patient information.
![84601-Grayson-Info-Update-Sheet-HR 84601-Grayson-Info-Update-Sheet-HR](https://grayson.associates/wp-content/uploads/2018/02/84601-Grayson-Info-Update-Sheet-HR.jpg)
![Controlled-Substance-Agreement-1 Controlled-Substance-Agreement-1](https://grayson.associates/wp-content/uploads/2019/12/Controlled-Substance-Agreement-1.gif)
Patient Controlled Substance Agreement
Release of Information Form
This form is required for sending any medical information from Grayson & Associates to another entity.
![Release-of-Info-Updated-11.25.19 Release-of-Info-Updated-11.25.19](https://grayson.associates/wp-content/uploads/2019/12/Release-of-Info-Updated-11.25.19.gif)
![Request-For-Medical-Records-new Request-For-Medical-Records-new](https://grayson.associates/wp-content/uploads/2019/09/Request-For-Medical-Records-new.gif)
Request for Medical Records Form
This form is used when you want past medical records from another doctor seen by a Grayson & Associates clinician.
2200 Lakeshore Dr #150, Birmingham, AL 35209
Tel: (205) 871-6926