Forms
PLEASE NOTE: The information on this page applies ONLY to those who have already scheduled an appointment with Dr. Mattox. If you have not yet scheduled an appointment, please call the office. Dr. Mattox will tell you at the time of scheduling what paperwork will be required and it will be mailed to you.
If you need Dr. Mattox to release information to any other entity (school, physician, other treatment provider, etc.) or want to give permission for Dr. Mattox to speak to any other person about the patient, please complete the following form:
Authorization to Release Client Information
If you wish to have a remote (virtual) telepsychology session, the following form is required to be completed and on file. Please understand that Dr. Mattox will decide whether a telepsychology session is appropriate for what you are requesting, and it is in her sole discretion whether to allow a telehealth session in lieu of a session in person in the office.
Telepsychology Informed Consent