First Time Forms
For your first appointment, please bring the following completed forms:
1
Child Neuropsychological History Form
2
HIPAA Acknowledgement
3
Authorization for Release of Information
Privacy Policy
Dr. Miller’s privacy practices are online for review, but do not need to be printed.
1
Notice of Privacy Practices
About
Child Psych Services specializes in the neuropsychological evaluation of children and teens. We are conveniently located between the Dayton and Cincinnati area.