3929 Airport Blvd, Suite 2-413 Mobile, AL 36609

Patient Forms

Bay Area Psychology & Counseling: New Patient & Release Forms

Please select the form you need and bring either email it or bring it completed to your first appointment. Doing so will help simplify and quicken the check-in process. If you are unable to complete this paper at home for any reason, you must arrive 30 minutes prior to your appointment to complete it in the office.

If you arrive without the completed paperwork less than 30 minutes before your scheduled appointment time, your appointment may be rescheduled.

Please click here for directions to our office!


New Patient Forms: ADULT HISTORY

Adult History (age 19+)

New Patient Forms: CHILD HISTORY

Child History (to age 18)

Release of Information: RECORDS

Release Forms: RECORDS

Release of Information: VERBAL

Release Forms: VERBAL

Appointment Info

Thank you for visiting our website! If you would like to make an appointment, please call our office and a staff member will be happy to assist you. If you are experiencing a life-threatening emergency, please call 911 or visit the nearest emergency room.

Office Hours

Monday-Tuesday 9:00am to 5:00pm
Wednesday 9:00am to 12:00pm
Thursday 9:00am to 5:00pm
Friday 9:00am to 12:00pm