Patient Forms

Release of Information

This form is for new and current patients who would like for me to communicate with other physicians and members of the treatment team (psychologists, school, etc.).  One form must be done for each entity (practice, psychologist, physician, person involved in care, etc.).  You may submit multiple forms if you have multiple treatment team members.

Release Form

Securely Send Documents to Dr. Hubbard

This form is for current patients to send me documents securely and in a HIPAA-compliant manor. You may use this form to send me prior evaluations, lab results from another doctor, EKGs, sleep studies, pdf rating scales, etc. 

Document Share Form 

Request Your Appointment

Prospective patients, please complete the appointment request form using the link above. Once this form is completed, I will determine if you are appropriate for my practice.  I may send you an invitation to Elation Passport (my secure patient portal) for ongoing communications.  Once we determine that we are a good fit for each other, I will advise you on the next steps (either via the portal, or over the phone if preferred).  A deposit will be due at the time of booking that is nonrefundable. If you have already called and left me a voicemail, please still complete this initial request.  I am typically able to return voicemails within 2 business days.

Click Here to Request Your First Appointment