Welcome to AustinOCD

Adult Forms

Everyone should download and read the following four forms. You can print them out if you like, but it's not necessary.


~Limits of Confidentiality

~Privacy Practices (HIPAA)

~Map to Dr Mansbridge's Office at 5217 Old Spicewood Springs Road

~YBOCS Instructions


Everyone should download, print, and fill out the following four forms:


1 Client info (Adult)

2 Adult Checklist of Concerns

3 OC Symptom Checklist

4 YBOCS


If you have had previous outpatient psychotherapists (psychologists, psychiatrists, counselors, etc.), download the following form, print as many copies as you need, and fill them out. Use your judgement in deciding which therapists might be useful for me to talk to. I am generally not going to ask them for written records, but I may want to talk with them briefly on the phone.


Authorization for Release of Info - Outpatient


If you have ever had a psychiatric hospitalization, download, print, and fill out the following form. (If there have been multiple hospitalizations, please fill out a separate copy for each one.) This will authorize their releasing records about your hospitalization to me.


Authorization for Release of Info - Inpatient


If you think you may have body dysmorphic disorder (BDD), also download, print, and fill out the following two forms. Note that you will be filling out two different forms of the YBOCS. Try to use the regular YBOCS to record the symptom severity of your OCD concerns that are not BDD-related; and use the BDD-YBOCS to record the symptom severity of your BDD concerns.


BDDE-SR

BDD-YBOCS


Returning the forms to me


You should send them to me, either by fax to 512 637-5578, or by scanning them into your computer (pdf preferred) and emailing them to me at mansbridge@austinocd.com. If you like, you can call me at 512 626-3900 to set up an initial appointment either before or after you send in the forms, but I will need to receive all the forms before we meet for our first session.


Please note my correct address is 5217 Old Spicewood Springs Road #805, Austin 78731. This address also appears in the letterhead at the top of most of the forms. There are pages on the internet not under my control that give my old address.