Intake Forms
All new patients establishing care at Diamond Lake Clinic must fill out an intake form prior to their first scheduled appointment with a provider. You can request the intake form by emailing info@diamondlakeclinic.org. Be sure to complete all sections and attach photos of the front and back of your insurance card and your photo ID. If you plan to pay out of pocket and do not have insurance, please indicate this clearly on your form to prevent delays in scheduling.
This combined questionnaire form helps screen for symptoms of depression and anxiety and how they may be affecting your daily life. Your responses provide important insight to support accurate assessment and personalized treatment planning during your appointments with your assigned provider.
It is required for each Spravato administration appointment and one time per week for TMS sessions, in addition to at the request of your providers
This telecommunications consent form provides your consent for our clinic to communicate with you via phone calls, text messages, and email regarding appointments, treatment updates, billing, and other important information related to your care. Your preferences help us communicate with you in a way that is convenient while maintaining your privacy.