Forms & Documents
Everything you need before your first visit — or to prepare for an upcoming appointment. Download forms, complete screeners, and review fee information all in one place.
New Patient Intake
Complete before your first appointment
Chambers Psychiatric Services — Intake Packet
Includes patient demographics, medical and psychiatric history, current medications, consent forms, and HIPAA acknowledgment. Please complete and return prior to your first appointment.
PDF · Available for download or fax to (504) 226-0731
Clinical Screeners
Validated tools to help guide your care
These are standardized, publicly available screening tools. Completing one before your appointment can help your provider better understand your symptoms and tailor your care plan.
Patient Health Questionnaire-9
A 9-question screening tool used to assess the severity of depression.
Generalized Anxiety Disorder-7
A 7-item screening tool used to measure the severity of generalized anxiety.
Columbia Suicide Severity Rating Scale (C-SSRS)
A standardized tool used to assess suicidal ideation and behavior.
Adult ADHD Self-Report Scale
An 18-question screener developed by the WHO to identify adult ADHD symptoms.
Vanderbilt ADHD Diagnostic Rating Scale
A parent/teacher rating scale used to screen for ADHD in children and adolescents.
Self-Pay Fee Schedule
For uninsured or out-of-network patients
Self-pay rates apply only to patients who are uninsured or whose insurance plan is out-of-network. If you have insurance, please visit our Insurance & Payments page to verify coverage before your appointment.
Please contact our office for current pricing information.
Call us at (985) 264-1876 or send us a message.
Ready to Take the First Step?
Complete your intake packet and request your appointment today. We look forward to welcoming you to Chambers Psychiatric Services.