Registration Forms for Dr. Hall's Practice
FamilyHealing.com
Inspiration and Expert Information for Families & Children in Distress
David C Hall, MD, Child Adolescent and Family Psychiatry
You will need to download the appropriate set of pre-registration forms and print them out.

Child registration forms  (under 18)
These forms are also helpful for young adults living at home, especially if there are developmental issues still of concern.

Please fill out the first two forms - Registration and Child Clinical Questionnaire - read the HIPPA information about your federally mandated privacy rights - sign the HIPPA form that acknowledges that you received the HIPPA information - and bring all the forms with you to your first appointment.


Adult registration   (18 and over if living away from home)
Same instructions except you will fill out the forms for an adult.

Federal HIPPA Privacy policies with form to sign (all patients)

My service charges