Helpful Forms

If you would like your healthcare providers to coordinate care or have your medical records released, please complete the Release of Medical Information form to authorize the release of your medical records.

Professional Disclosure Statements for Dr. Somlyay are available to view and/or print. 

• Professional Disclosure Statement - Dr. Somlyay 

Helpful Seasons Psychiatric Clinic Forms

• SPC - Demographic form (2020)
• SPC - Financial & Office Policies (2020)
• Release of Medical Information Form (Dr. Somlyay)

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