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Welcome to the portal for Psychology Associates of Grand Rapids forms.

The forms provided here are for the use of Psychology Associates of Grand Rapids patient and staff only. Your privacy is our number one concern and any information provided by you through this site is protected by industry-standard encryption and subject to our privacy policy. By filling out forms on our site you agree to the statements in our privacy policy. You can view our privacy policy by clicking here.

*PLEASE COMPLETE THESE FORMS NO LESS THAN 48 HOURS IN ADVANCE OF YOUR APPOINTMENT*

If you have a teletherapy appointment, the forms below are *REQUIRED*:

If your appointment is at our Parchment Office the forms below are *REQUIRED*:

If your appointment is at our Mid Towne Office, the forms below are *REQUIRED*:

If you are scheduled to see Kelly Culmore, DNP, please fill out the form listed below:

Authorization Forms