Medication Consent 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

Ativan

Buspirone

Celexa

Cogentin                                                                                  Release of Information

Cymbalta

Depakote

​Effexor XR

​Gabapentin

Guanfacine

Hydroxyzine

​Lamictal

​Latuda

Lexapro

​Lithium

Minipress

Paxil

Propranolol

Risperdal

Prozac

Topamax

​Trintellix

​Wellbutrin XL

Wellbutrin

Xanax

​Zoloft

​Zyprexa