To request a release of information/records:
Please complete the online form:
Release of Information for Jack L. Koch Jr., M.D.
Release of Information for Vanya Hamrin, DNP, PMHNP-BC
Treatment Scales:
Severity Measure For Depression - Adult (complete online or download)
Severity Measure For Agoraphobia - Adult (complete online or download)
Severity Measure For Generalized Anxiety Disorder - Adult (complete online or download)
Severity Measure For Panic Disorder - Adult (complete online or download)
Severity Measure For Separation Anxiety Disorder - Adult (complete online or download)
Severity Measure For Social Anxiety Disorder - Adult (complete online or download)
Severity Measure For Specific Phobia - Adult (complete online or download)
Severity Measure For Acute Stress Symptoms - Adult (complete online or download)
Severity Measure For Dissociative Symptoms - Adult (complete online or download)
Severity Measure For Post-Traumatic Stress Symptoms - Adult (complete online or download)
