Forms

New Patient Forms*:
If you are a new patient, or are returning to treatment, the following forms are given at the first appointment. Feel free to print them out and bring to your first appointment. 

Client Data Form* (pdf)

Download

Informed Consent (Adult)* (pdf)

Download

Informed Consent (Child)* (pdf)

Download

Release of information for Primary Care Physicians* (pdf)

Download

Fee Schedule* (pdf)

Download

HIPPA Acnowledgement* (pdf)

Download

Hippa 2018 (pdf)

Download

Release of Information (pdf)

Download