HIPAA Form

hipaa form

Fill out a HIPAA form to authorize an outside provider to share information about you with us, such as your general practitioner or a previous psychiatrist.

Share with Talkiatry

You can also fill out a HIPAA form to authorize us to share your information with anyone you specify, such as another provider, a spouse, or a parent.

Share with Others

Please view our privacy policy for information about HIPAA laws, privacy rights, and sensitive personal health information disclosure.

Ready to start feeling better?

Take our online assessment to tell us about yourself, your symptoms, and your treatment preferences. Then, we’ll provide you with a preliminary diagnosis and match you with the best psychiatrist for you.

Take the Assessment