Forms

If you're a new client, please complete the following forms and bring them to your first therapy session.


If you would like me to coordinate care with another provider (for example, your psychiatrist, primary care physician, etc.), complete this form to authorize release of psychotherapy information:

Note: To download Adobe Acrobat Reader for free, Click here.



Psychiatric clinic is accepting new patient in Orlando, FL.  Dr. Syeda Sultana treats adult psychiatry in Orlando, FL. Our board certified child psychiatrist, Syeda Sultana, M.D.,  provides services in Orlando, FL. Our psychiatry care is accepted by all insurances in Orlando, FL. Dr. Syeda Sultana provides psychiatric evaluations for child/adolescent and adults in Orlando, FL. This psychiatric clinic offers psychiatric services in Orlando, FL since 2005. The psychiatric clinic provides anxiety, depression, bipolar disorder, CBT, eating disorder, substance abuse, autism spectrum disorder and behavioral issue treatment in Osceola County, FL. Did you google "Psychiatrist Near Me in Osceola County?" Dr. Sultana provides psychiatric services in Osceola county, FL. Looking for a psychiatrist in Orlando, FL? Book an online appointment for a psychiatrist in Orlando, FL. at psychiatricclinic.net. Dr. Sultana's psychiatry treatment includes OCD/ODD disorder, Alzheimer's disease, Schizophrenia, and Tourette syndrome disorder in Windermere, FL. The psychiatry clinic provides behavioral health care which includes depression, PTSD, and ADHD in Hillsborough, FL.