For your convenience, patient forms are provided below.
On scheduling your initial visit, Dr. Shapiro will instruct you on which form(s) to complete and bring with you prior to your appointment. Not all patients will need to complete all forms. Dr. Shapiro could also mail you a copy if you prefer.
| notice_of_privacy_practices.drjennifers..pdf |
| consent_form.drjennifers..pdf |
| authorization.drjennifers.pdf |
| intake_form.drjennifers..pdf |
| eating__weight_patterns_questionnaire.drjennifers.pdf |
| eating_attitudes_test.pdf |
| insurance_form.pdf |
You will need to download the free Adobe Reader 9.1 to view these documents.