Welcome Packet from Your Doctor




These are links to the Welcome packets for each of the doctors at Potomac Grove Psychiatry.

The Welcome packet contains the paperwork you need for the doctor you will be seeing.

You must have the most current version of Adobe Acrobat Reader installed in order to view and print the paperwork. If you have trouble printing, please download the most recent version of Acrobat Reader here.

Please print all the forms for the doctor that you will be seeing.

Dr. Kopolow

Dr. Kopolow Welcome Letter

Registration Form

Telephone Contact 

Patient Policies

Medication Form

Telehealth Form

PGP Credit Card Authorization 

Patient History

MINI Patient Health Survey

The Quick Inventory of Depressive Symptomatology

PROS-D Scale

Information Release

Privacy Notice

Dr. Tyson

Dr. Tyson Welcome Packet

Telehealth Form