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. If you do not have access to a printer, please feel free to contact our office and we can mail you a copy or give you one in the clinic!
Helpful Seasons Psychiatric Clinic Forms
- SPC - Demographic form (2020)
- SPC - Financial & Office Policies (2020)
- Release of Medical Information Form (Dr. Somlyay)
Please return your new patient forms to our clinic prior to your appointment. Completed forms can be emailed to us at [email protected] or mailed to us at Seasons Psychiatric Clinic 311 South 2nd St. Laramie, WY 82070.
No Internet access ??? No problem. Call us and we can send forms in the mail before your appointment time.
Note: To download Adobe Acrobat Reader for free, click here.