Forms
Patient Portal Access now available. Your provider can provide refills, answer questions, and all other inquiries in an efficient manner.
Below are forms needed for your first appointment.
Please print and complete forms prior your initial evaluation to save time.
Please print and complete forms prior your initial evaluation to save time.

Practice Policies | |
File Size: | 174 kb |
File Type: |

New Patient Registration Form | |
File Size: | 142 kb |
File Type: |

New Patient Intake Form | |
File Size: | 225 kb |
File Type: |

Patient Release Form | |
File Size: | 114 kb |
File Type: |

Consent for Treatment, Assignment of Benefits and HIPPA Form | |
File Size: | 122 kb |
File Type: |

Telehealth Consent Form | |
File Size: | 127 kb |
File Type: |

Credit Card Authorization Form | |
File Size: | 162 kb |
File Type: |
Fill out the following forms only if asked to by a provider.
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