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 | |
File Size: | 91 kb |
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Prescription Agreement for Patients | |
File Size: | 91 kb |
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Adult Registration Form | |
File Size: | 103 kb |
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Adult History Form | |
File Size: | 332 kb |
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Child & Adolescent Registration Form | |
File Size: | 108 kb |
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Child & Adolescent History Form | |
File Size: | 342 kb |
File Type: |

Release & Request for Patient Medical Records | |
File Size: | 119 kb |
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Release & Request for Patient Medical Records from Comprehensive MedPsych Systems (CMPS) | |
File Size: | 121 kb |
File Type: |
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