Hope W. Levin MD

Hope W. Levin MDHope W. Levin MDHope W. Levin MD
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Hope W. Levin MD

Hope W. Levin MDHope W. Levin MDHope W. Levin MD
  • Welcome
  • About
  • Forms
  • FAQ
  • Contact

Forms

New Patient Intake (pdf)

Download

Authorization for Release of Info (pdf)

Download

Notice of Privacy Practices (pdf)

Download

Clinical tools and rating scales

Food-mood chart (pdf)Download
Mood chart (pdf)Download
Depression (pdf)Download
Anxiety (pdf)Download
Adult ADHD (pdf)Download
Disordered Eating (pdf)Download
Childhood ADHD, Teacher Assessment form (pdf)Download
Childhood ADHD, Teacher Follow-Up form (pdf)Download
Childhood ADHD, Parent Assessment form (pdf)Download
Childhood ADHD, Parent Follow-Up form (pdf)Download
Childhood Anxiety, child form (pdf)Download
Childhood Anxiety, parent form (pdf)Download

Resources

American Academy of Child and Adolescent PsychiatryAmerican Psychiatric AssociationNational Alliance on Mental IllnessChildren and Adults with Attention Deficit/Hyperactivity DisorderNational Eating Disorders AssociationDepression and Bipolar Support Alliance

2730 WILSHIRE BLVD SUITE 325 SANTA MONICA CA ~ ‭(310) 494-0108‬ ~ COPYRIGHT © 2023 Hope W. Levin MD ~ ALL RIGHTS RESERVED