PLEASE NOTE: THE FORMS BELOW MUST BE COMPLETED PRIOR TO YOUR APPOINTMENT. IF THEY ARE NOT COMPLETED WHEN YOU ARRIVE, YOU WILL NEED TO COMPLETE THEM PRIOR TO BEING SEEN.
Please download and print ALL documents below. These forms are also available in the “patient portal”. The first is the Intake Form, which gathers information for all new patients. Fill this form out as completely as possible and bring it to your appointment. The second is the “HIPPA Notice.” Please read it. You only need to print the LAST PAGE. Fill out that last page, sign it and bring that to your appointment as well. The next document is the “CLIENT SERVICE AGREEMENT” which is the payment policy. Fill out, sign and bring this document as well. The final document is the “Patient Information” form. If you do not have Adobe Reader, please download it.