The forms listed below are very important for you to read thoroughly and fill out before we meet.  They will orient you to my practice and provide very useful information to me about you, allowing us to save time during our interview.  Please bring the completed forms with you to our first appointment.

File	Description
Anxiety Inventory	This Anxiety Inventory will clarify if anxiety is a problem for you.
Payment Policy	This is a Payment Policy Form. It presents Dr. Belon's payment policies.
Informed Consent	This Psychotherapy Informed Consent Agreement presents an overview of my practice as we begin to work together.
Thornton Office Map	Use this map as a guide to find Dr. Belon's Thornton Office.
Pres/St. Lukes Office Map	Use this map as a guide to find Dr. Belon's Office at Pres/St. Lukes Hospital
Mood State Inventory	This questionnaire will assess your current mood state.
Disclosure Statement	This is a disclosure statement that is required by the State of Colorado. It is essential that you read it carefully before providing your signature.
Release of Information	This Release Form permits communication between Dr. Belon and your referring/attending physician(s).
Depression Inventory	This Depression Inventory will shed light on your mood and emotional state.
Medical History	This Medical History Questionnaire will provide important information about your medical history.
Registration Form	This Patient Registration Form requests important insurance information.

If you are seeking pain management services or coming in for a spinal cord stimulator evaluation, please also complete the following pain questionnaire and bring with you to our first session.

File	Description
Pain Questionnaire	This Pain Management Questionnaire will provide specific information about your pain.