Cantwell Family Psychiatry
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    • Confidentiality
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    • Bipolar Disorder
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Patient Forms

Patients are encouraged to complete the appropriate forms below before their initial appointments with Dr. Cantwell.

Patient Forms

Privacy Notice Summary - To Print & Sign
File Size: 91 kb
File Type: pdf
Download File

Prescription Agreement for Patients
File Size: 91 kb
File Type: pdf
Download File

Adult Registration Form
File Size: 103 kb
File Type: pdf
Download File

Adult History Form
File Size: 332 kb
File Type: pdf
Download File

Child & Adolescent Registration Form
File Size: 108 kb
File Type: pdf
Download File

Child & Adolescent History Form
File Size: 342 kb
File Type: pdf
Download File

Release & Request for Patient Medical Records
File Size: 119 kb
File Type: pdf
Download File

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

Cantwell Family Psychiatry, PC
770 Middle Street, Fairhope, AL 36532 | Post Office Box 392, Fairhope, AL 36533
Phone Number: 251-517-5800 
© COPYRIGHT 2020. ALL RIGHTS RESERVED.
  • Home
  • About
    • Patient Rights & Responsibilities
    • Confidentiality
  • Schedule Appt
    • Insurance
    • What to Bring
    • Patient Forms
  • Treatment
    • Anxiety Disorders
    • Bipolar Disorder
    • Common Childhood Conditions
    • Depression
    • Eating Disorders
    • Substance Abuse
  • Contact