Welcome New Patients!

Thank you for choosing Dr. Clayton Hall & Associates to provide you with the care you deserve! To become an established patient, you must complete the following steps:

  1. Print and thoroughly fill out the New Patient Forms (details below).
  2. Deliver – directly or by mail – the New Patient Forms to:
    Dr. Clayton Hall & Associates
    3229 Summit Square Place
    Suite 200
    Lexington, KY 40509
  3. Once we review your information, we will call you to schedule an appointment. To secure your appointment, we require a NON-REFUNDABLE fee of $200.00, which will be applied to the $400.00 Evaluation Fee at your first appointment.

*Non-Refundable means that you will agree to be present at your appointment on the scheduled day and time. If you do not make it for your appointment, your $200.00 fee will not be refunded. HOWEVER, we will allow a one-time reschedule if you call 24 hours before your scheduled appointment. If you reschedule a second time, your $200.00 fee will not be refunded.

For your convenience, we have combined most of the forms in a single document, making it easy to print and complete.

Please click this button to view then print the following documents:

  • Patient Demographic Information

  • Patient Responsibility Agreement

  • Consent for Treatment

Print New Patient Forms

In addition, we ask that you print and sign the:

Notice of Privacy Practices

We are required by law to ask that you read this “Notice of Privacy Practices” and then attest to your agreement and understanding of it by providing us with a signed copy.

Please review and print out the forms, then complete them as neatly and thoroughly as possible.

Please note that you will need to bring the completed forms to your first appointment.

Finally, since we are currently handling most appointments via teleconference, please complete our online Telepsychiatry Consent Form: Complete & Submit Online