Geoffrey Di Bella, MD    Psychiatrist DBA: OPTILIFE, Inc.

Please print the following forms... see links below:

Patient Intake Packet... all first time patients.

And: for those under 18,  then also the

Minor Intake forms



Filling these out is required before the consultaton time.  If by video chat, then please return to the office at least one day beforehand.

 If you have not been at the office in over 1 year, you need to fill in new Intake Forms/First Visit.