New Patient Information & Forms

These forms are for your information only. You Do Not Need To Print These Forms.	Please download, Print, Complete, and bring these forms with you to your first visit.
Notice of Privacy Practices	New Patient Registration Forms
Coaching Policies & Privacy Practices	Child & Adolescent Testing Forms (Please also complete New Patient Registration Forms)
Testing Costs and Schedule	New Coaching Client Forms
Payment Options	Mandatory Disclosure Statement (Colorado Clients Only)
	Teletherapy Agreement (For Phone & Internet Coaching & Counseling)

Click on the above forms to download and read or print the forms.

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For appointments, please use our convenient online Appointment Scheduler.
If you're having any difficulties, please call Dr.Peipman directly at 561-276-9279

*Please note email is only for non-urgent matters. Though all communications are confidential, Dr. Peipman cannot assure you of the privacy of internet communications. Any information communicated over the internet is at risk of public exposure and should be use judiciously. For guaranteed confidentiality please communicate with him by voicemail 561-276-9279 or private fax 561-276-9279