Practice Forms and PDFS:

INTAKE FORMS (ELECTRONIC) WILL BE EMAILED TO YOU WHEN SCHEDULING YOUR INITIAL VISIT.

• If you have not received them, please email:   scheduling@rittenhousepa.com or call 267-358-6155 x 1.
• The forms will be sent from: The forms will be sent from “Simple Practice.” Please search your junk mail if you do not find them in your inbox.

INTAKE FORMS FOR INITIAL VISITS

You can also print, fill out, sign & return these forms to scheduling@rittenhousepa.com

Demographic Form and Policies

FOLLOWUP FORMS: ONLY IF REQUESTED BY YOUR PROVIDER

Medication Consent Forms

Controlled Substance Contract

Release of Information Forms

Telehealth Consent Form

Rittenhouse Policies

Rittenhouse Fees

ASSESSMENT TOOLS AND SCALES

PTSD Checklist for DSM-5 (PCL-5)

HELPFUL PDFS

Sleep Hygiene PDF