Our Professional Staff
Peter B. van Dyck, MD
Tammi B. van Dyck, RN,C
Maria L. Wood, MEd, LPC
Jennifer H. Ennis, RN,C
Amy H. Elder, MA, LPC
TMS technicians
Our Office
Administrative staff
Office policies
Insurance reimbursement
Office forms
Contact us
Directions
Counseling Resources
Ethical principles
HIPAA privacy statement
Christian counseling
APA statement on religion
Dr. van Dyck's Presentations
Treatment of Anxiety Disorders
Treatment of PTSD
What Would Jesus Do?
Role of Psychotropic Meds in
Counseling
.
You may download forms used in our office.
Forms are in pdf format and require Adobe Acrobat Reader to open.
Admission Package
Includes:
- Patient Registration
- Psychiatric History
- Medical History
Consent for Pressional Services
- Peter B. van Dyck, MD
- Maria L. Wood, MEd, LPC
- Jennifer H. Ennis, RN, C
- Amy H. Elder, MA, LPC
Authorization for Release of Information