Forms
Forms
Protection & Consent
Scottsdale Family Psychiatry accepts credit cards, cash and checks. We will provide a "superbill" as an out-of-network provider for possible reimbursement to you from your insurance carrier.
Please download the Adult or Minor forms corresponding to the physician you are scheduled to meet with. Form packets are PDF files that should be filled out digitally and emailed to SFP.
Click on the PDF button to download forms. Open the PDF, fill it out all pages and digitally sign where required. Before your first appointment, email the completed PDF to
scottsdalefamilypsych@outlook.com.
Informed Consent and Essential Forms
Dr. Linda Kalivas (for Adult)
Informed Consent and Essential Forms
Dr. Linda Kalivas (for Minor)
Informed Consent and Essential Forms
Dr. Kerri Rouse (for Adult)
Informed Consent and Essential Forms
Dr. Lance Rouse (for Adult)
Informed Consent and Essential Forms
Dr. Ken Zwier (for Adult)