Whole Life Psychiatry

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Patient Consent Forms

To save time, you may print and sign consent forms and bring them with you to your first appointment.

General Office Policies
Financial Agreement
Credit Card on File Policy
Notice of Privacy Practices
Consent for Treatment (Adult)
Consent for Treatment (Minor)
Prescription History Consent
Authorization to Release Records
Policy for Divorced or Separated Parents
Communication Policy


Whole Life Psychiatry

6333 N State Highway 161 , Suite 130 , Irving, Texas United States 75038
© 2023 Whole Life Psychiatry. All Rights Reserved.
  • Psychiatry Dallas, TX, Psychiatry Fort Worth, TX, Psychiatry Texas
  • Kim Tubbs, Holistic Psychiatry, Pediatric Psychiatry
  • Shanon Buffington, Yoga, Yoga Therapy, PSYCH-K®