New Patient Forms

  1. Sign the consent form >
    Please electronically sign the consent form, telling us that you agree to receive services from The Gambling Clinic. Included is information about the treatment, the use of Telehealth, and privacy limits of email communications.
  2. Complete the new patient intake form >

Please do not hesitate to contact us if you have any questions about these documents. You can either reach out to the therapist that you have been in contact with, or email us at gambling@memphis.edu.