Dr. Whitfield Md, Psychiatrist, Substance Abuse Specialist
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New Patient Forms 

Please review the additional information provided and let us know if you would like to proceed with setting up an appointment.  Please note we do not take any forms of insurance.  However, if you are working with a PPO plan, you may get reimbursement for appointments on your own. 

If you'd like to save time, please download the following forms and complete before your first office visit.

We look forward to working with you and appreciate your business! 

Sincerely,

Dr. Whitfield & Staff

Forms to Download & Complete

patient_information.pdf
File Size: 167 kb
File Type: pdf
Download File

child_psychiatry_intake_questionaire.pdf
File Size: 328 kb
File Type: pdf
Download File

hipaa_release_jjw.pdf
File Size: 186 kb
File Type: pdf
Download File

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