Forms

Adult Intake Form

Intake form to be completed prior to the first visit or consultation.

Child / Teen Intake Form

Intake form to be completed prior to the first visit or consultation.

Release of Information (ROI) Form

This form authorizes Expert Psychological Associates to release records to another entity and permits Dr. Zaky to receive records or clinical information from outside providers.

Ready to Get Started

Contact the office with any questions or to schedule an appointment.

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