Online Forms

KAP Question/Inquiry

Secure File Upload

New Patient Inquiry

Patient Satisfaction Survey

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Assessment - Autism Screen 18-24 months

Assessment - Copeland ADHD

Assessment - Covid Survey

Assessment - Hamilton Anxiety Rating Scale

Assessment - PHQ-9: For Teens

 Assessment - PHQ-9: 13-14yr

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Billing - Contact/Inquiry

Billing - Online Payment - STATEMENTS/CURBSIDE/SELF PAY COVID TEST

Billing - Payment Link

Billing - Payment Plan Request (Signature Required)

Billing - Secure File Upload

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Consent - ADHD Treatment

Consent - CC Authorization - CURBSIDE/COVID TESTING/TELEHEALTH

Consent - Communication & Portal

Consent - Medical Record Transfer - Leaving KAP (Signature Required)

Consent - Medical Record Request - Coming to KAP (Signature Required)

Consent - New Patient Medical Consent (Signature Required)

Consent - New Patient Registration

Consent - Non Guardian Medical Authorization (Signature Required)

Consent - Young Adult Medical Release (Signature Required)

Consent - Vaccination

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Policy - Financial

Policy - HIPAA Privacy Policy

Policy - Newborn Insurance Waiver

Policy - New Patient/New Insurance Waiver

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Telehealth - Minor Consent

Telehealth - Young Adult Consent