Medication Consents and Other Forms


 Below you will find the medication consent forms your provider has asked you to fill out and sign.  Just click on the medication and the form will open up for you.  Please fill out the forms required and sign at the bottom of the consent form.  If you do not see your specific form, please call us at 858-227-0887, Thank you.


Adderall                                                                                   Informed Consent

Abilify

Ambien

Ativan                                                                                                               PHQ - 9

Buspirone

Celexa

Cogentin                                                                                  Release of Information

Cymbalta

Depakote

​Effexor XR

Elavil - Amatriptylene

Focalin

​Gabapentin

Gedeon

Guanfacine

Hydroxyzine

Klonopin

​Lamictal

​Latuda

Lexapro

​Lithium

Minipress

Mydayis

Paxil

Propranolol

Remeron/Mirtazapine

Risperdal

Ritalin

Prozac

Seroquel

Strattera

Topamax

Trazadone

Trileptal

​Trintellix

Vyvanse

​Wellbutrin XL

Wellbutrin

Xanax

​Zoloft

​Zyprexa