office (401) 398-2434
fax (401) 398-2451
1351 South County Trail
Building 1, Suite 110
East Greenwich, RI 02818

Patient Forms

The forms below can be downloaded and completed prior to your initial visit at Psychological & Educational Services, LLC.

 

  Confidential Exchange of Information (PDF)
  Confidential Exchange of Information (Word)

 HIPAA Notice of Privacy Act (PDF)
  HIPAA Notice of Privacy Act (Word)

 Office Policy (PDF)
 Office Policy (Word)

 

 

 

 

Please, if you have any questions contact us!