Patient FormsPatients are encouraged to complete the appropriate forms below before their initial appointments with Dr. Cantwell.
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Patient Forms
| Privacy Notice Summary - To Print & Sign |
| Prescription Agreement for Patients |
| Adult Registration Form |
| Adult History Form |
| Child & Adolescent Registration Form |
| Child & Adolescent History Form |
| Release & Request for Patient Medical Records |
| Release & Request for Patient Medical Records from Comprehensive MedPsych Systems (CMPS) |
Cantwell Family Psychiatry, PC
770 Middle Street, Fairhope, AL 36532 | Post Office Box 392, Fairhope, AL 36533
Phone Number: 251-517-5800
770 Middle Street, Fairhope, AL 36532 | Post Office Box 392, Fairhope, AL 36533
Phone Number: 251-517-5800