Please choose the form category you need—adult, teen/child, or teacher—by following one of the bulleted links below. All forms require Adobe Acrobat Reader preferably version 5.0 or newer. Then choose the particular numbered link (form) you need, print the form, fill it out, and mail it to us at:

Puget Sound Behavioral Medicine
2553 76th Avenue SE
Mercer Island, WA
98040-2758

Available form categories:

• adult forms
• teen/child forms
• teacher forms

ADULT FORMS

1. Registration Form
   (17k PDF file)
2. Adult Questionnaire Form
   (153k PDF file)
3. Release Form
   (118k PDF file)

TEEN/CHILD FORMS

1. Registration Form
   (17k PDF file)
2. Teen/Child Parent Questionnaire Form
   (601k PDF file)
3. Teen/Child Bipolar Questionnaire Form
   (361k PDF file)
4. Teacher Evaluation Form
   (66k PDF file)
5. Release Form
   (118k PDF file)

TEACHER FORMS

1. Teacher Evaluation Form
   (66k PDF file)