
Helpful Forms
Intake forms and patient forms
If you’re a new patient, please complete the following forms and bring them to your first session.
If you would like me to coordinate care with another provider (for example, primary care physician, etc.), complete this form to authorize release of your psychiatric information:
Call (334) 280-3230
New Patient Forms

New Patient Questionnaire
Click below to fill out the form if you're a new patient

Consent For Treatment
Click below to fill out the consent for treatment form

HIPAA Authorization Form
Click below to fill out the HIPPA Authorization form

Release of Medical Records
Click below to fill out the release of medical records form

Meet Our Doctors
Dr Clemmie Palmer, III, MD
Dr. Palmer is a psychiatrist who specializes in the psychiatric evaluation, complementary therapy approach, and medical management of an individual who is suffering from mental illness. This Psychiatrist provides services and maintains a private practice in Montgomery, AL.
Rachel Williams, CRNP
Please email rw@drpalmer.com to get in touch with Rachel.

Better Mental Health is Our Mission
Personal Care. Personal Health.
Helpful Forms
CLICK HERE to view and fill out forms for your appointment.
Make a Payment
CLICK HERE to be taken to our secure payment page.