New Patient Information
You will need to have Adobe Reader installed on your PC to view these forms. It is a free download from Adobe.
Driving Directions

GPS/online maps may lead you to an inaccurate location, so please download our PDF map.
Download Checklist Form

New Patient Instructions

This contains information and required forms for new patients. This must be completed by the patient and received by our office in order to schedule your appointment. Also includes a copy of the driving directions, Policies and Procedures, and Notice of Privacy Practices.

*If you are interested in an assessment to inititate Suboxone treatment with Dr. Wozniak, please click here.

*If you are transferring care with Dr. Taylor AND you have Medicare, please also sign this form

Download Policies and Procedures Form Policies and Procedures and
Notice of Privacy Practices


The "Notice of Privacy Practices" describes how we are required to use your information.  The "Policies and Procedures" explains more about our office policies.  You do not need to print out these unless you desire to do so; just make sure you read and understand them.  You will sign acknowledgment of receipt of these at the time of appointment.
Download Policies and Procedures Form Out-of-Network Checklist

If your psychiatrist is not in network with your insurance provider, you may be eligible for reimbursement from them. This is a checklist of questions to ask when you contact your insurance company.
Download Authorization for Disclosure Form Authorization for Disclosure of
Protected Health Information


This is optional and only needed if you want us to share your information with your primary care physician, therapist, spouse/family member, and/or anyone else. You only need to print this and fill it out if you want us to share information. If so, make sure to fill in their name/contact info on #3 of this document and bring it to your first appointment. If other providers have information that you feel would be important for us to have, please have them fax such records to (502) 425-6629 (examples include hospitalization records, psychological testing results, therapy notes, previous treatment records, etc.) prior to your appointment.

River City Psychiatry
4201 Springhurst Blvd,    Suite 203               Louisville, KY 40241


Driving Directions

(502) 425-6690 phone
(502) 425-6629 fax

Services | New Patient Information | FAQs | About Us | Our Psychiatrists | Links | Home
©2014 River City Psychiatry. All Rights Reserved.