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
Serving Weston, Southwest Ranches, Davie, Parkland, Pembroke Pines and all of South Florida
Phone: (954) 915-8010

Senior Level Clinician 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. Once you complete the forms for your first visit, you can return them to us via the secure form link below.

Click Here for our Secure Online Form  

To learn more about our services or to schedule a convenient appointment with Dr. Bauman, please click here or call us at (954)-915-8010.

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 - 2018 and Beyond

Informed Consent for Telepsychology


HIPAA Privacy Policy - 2015 and Beyond


Document Archive

Patients' Rights and Responsibilities - 2015-2017

Patients' Rights and Responsibilities - 2014

Patients' Rights and Responsibilities - 2013 and Prior

HIPAA Privacy Policy - 2014 and Prior