New Patient Forms

*New COVID-19 Informed Consent: Required for all in-person sessions

 

Please review, print and bring the following forms to your first visit with Dr Price.

Practice Policy Update

Symptom Checklist

Client Information Sheet

Please review, print and bring to your visit only if applicable.

Release of Information

Credit Card Authorization

Please read only (not required to print or sign).

COVID19 Consent Form

Amanda L. Price, Ph.D., PLLC

8307 Six Forks Road

Suite 201

Raleigh, NC  27615

Call

T: 919-741-9699

F: 888-971-7136