Document Upload

Home Locations Patient Contact Services Intake Form

Screeners

PHQ-9 GAD-7 PCL-5 BDI-II PHQ-15 Epworth ISI Review of Symptoms HAM-A HAM-D Binge Eating Scale

Testing

Bariatric Questionnaire — English Cuestionario bariátrico — Español Questionário bariátrico — Português

Patient Forms

Intake Form — English & Spanish Upload Insurance Card & ID Bariatric Attestation Atestación bariátrica Atestado bariátrico

Insurance, ID, and Proof of Identity Upload Form

NameFront of ID CardFile must be 10 MB or lessBack of ID CardFile must be 10 MB or lessBack of Insurance CardFile must be 10 MB or lessFront of Insurance CardFile must be 10 MB or lessPatient Photo Holding ID CardFile must be 10 MB or less

Atomic Shrink Psychology, Incorporated

QMEs & IMEs