Street Address: 2140 41st Avenue, Suite 200B, Capitola, CA 95010
Main Telephone Number: (321) 208-1554

              Office Manager Telephone Number: 321-298-8668
              E-Mail Address: gerardphd@hipaamail.us
              Fax Number: (831) 325-0125

Psych Evaluation Test Forms Details

PSYCH EVALUATION TEST FORMS PAGE

UCSC Students: Dr. Chambers does not take your insurance. However, you will receive a check for all services he provides to you after you pay the contracted rate in full. Those interested in the details should contact our offices. This does require a large out of pocket expense that will be refunded to you by Anthem Blue Cross within 3-6 Weeks.

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FORMS for ALL Patients:

Informed Consent Testing 8.29.16 (Required for a Psych Evaluation Test)

Telemed Informed Consent 6.25.15 (Telelmed Informed Consent)

HIPAA Word Final 5.9.15 (Required Psych Evaluation Test)

Intake Form 5.15.15 (Optional, HIGHLY Suggested for Children)

Authorization of Release 6.25.15 (For all Releases of Information)

UCSC HARDSHIP LETTER 6.25.15 (For Students Needing Financial Help From the School) *You will need the funds prior to the appointment. It usually takes about 2 weeks.

RSS NEUROPSYCH NEWS FEEDS

  • Cognitive-behavioral versus psychodynamic therapy for major depression: Secondary outcomes of a randomized clinical trial. June 19, 2017
    Objective: In a randomized clinical trial, we compared the efficacy of cognitive–behavioral therapy (CBT) and psychodynamic therapy for adult outpatient depression on measures of psychopathology, interpersonal functioning, pain, and quality of life. Method: There were 341 Dutch adults (70.1% female, mean age = 38.9, SD = 10.3) meeting Diagnostic and Statistical Manual for Mental Disorders-Fourth […]
    Driessen, Ellen; Van, Henricus L.; Peen, Jaap; Don, Frank J.; Twisk, Jos W. R.; Cuijpers, Pim; Dekker, Jack J. M.
  • Interpersonal pathoplasticity and trajectories of change in routine adolescent and young adult residential substance abuse treatment. May 15, 2017
    Background: Partnerships between mental health care stakeholders provide a context for generalizable clinical research with implications for quality improvement. In the context of a partnership between an adolescent residential substance abuse disorder (SUD) treatment center and clinical researchers, stakeholders identified knowledge gaps (internal and the field broadly) with regard to patient interpersonal factors that influence […]
    Boswell, James F.; Cain, Nicole M.; Oswald, Jennifer M.; McAleavey, Andrew A.; Adelman, Robert
  • Meta-analysis of cognitive–behavioral treatments for adult ADHD. May 15, 2017
    Objective: We conducted a meta-analysis of cognitive–behavioral treatment (CBT) studies for adult attention-deficit/hyperactivity disorder (ADHD), examining effects versus control and effects pre-to-post treatment to maximize the clinical and research utility of findings from this growing literature. Method: Eligible studies tested adults meeting criteria for Diagnostic and Statistical Manual of Mental Disorders ADHD as determined by […]
    Knouse, Laura E.; Teller, Jonathan; Brooks, Milan A.

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  Content Copyright 2014. All Rights Reserved: Gerard Chambers Psy.D., Ph.D. -- 2140 41st Avenue, Suite 200B, Capitola, CA 95010 -- Phone: (321) 208-1554