top of page
Kennedy
ADHD
Clinic
The Practice
About Us
Dr. Kennedy
Office Policies
Costs & Insurance
Privacy & Confidentialty
Services
Initial Evaluations
Therapy
Medication Management
Understanding ADHD
Contact
Send us a Message
Self-Schedule Appointments
Documentation/Report Requests
Resources
Books & Publications
ADHD in 28 Minutes
Guidelines to an Expert Diagnosis
ADHD Q & A
Articles & Journal Research
Helpful Links
Appointments
Log In
Please complete the form below and provide details regarding your requests.
Requesting Documentation- Existing Patients ONLY
I am requesting the following:
*
Required
Initial Assessment Report (note: charges may apply)
Requesting Records
Requesting Superbill
Requesting Individual Insurance Form
Accomodations Report (preparation charges will apply)
I understand turnaround can take 1-4 weeks, depending on the request
Submit
bottom of page