Patient Forms
Dr. Jeff Bauman, Licensed Child Psychologist and Life Coach serving the Weston, Florida area.

Jeff M. Bauman, Psy.D, P.A.

Licensed Psychologist - Life Coach
1840 Main Street
Suite 102
Weston, Florida 33326
Phone: (954) 659-0059

 

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Concierge Level Psychological and Coaching Consultations For Children, Adolescents, Emerging Adults and their Families.

Patient Forms

Dr. Bauman has compiled a number of forms and useful information for our patients to read and complete in the privacy of their own home. Should you be asked to complete a form by our staff, you will be able to find it in this section.

To learn more about our services or to schedule a convenient appointment with Dr. Bauman, please click here or call us at (954) 659-0059.

You must have the Adobe Reader to open this file. If you require the reader, please click here to download it.

Please click the links below to open the forms. Print the forms and bring them filled out with you upon your office visit. Thank you!

Child Intake Form

Adult Intake Form

Patients' Rights and Responsibilities - 2015 and Beyond

HIPAA Privacy Policy - 2015 and Beyond


Document Archive

HIPAA Privacy Policy - 2014 and Prior

Patients' Rights and Responsibilities - 2014

Patients' Rights and Responsibilities - 2013 and Prior