Brian L. Ackerman, MD

Providing Holistic and Integrative Psychiatric Care in Rhode Island

Forms to Complete for First Session

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

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

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401-500-5638   -   154 Waterman St. Suite 16, Providence, RI 02906   -   [email protected]