These forms are available for your review to assist in easing your initial visit.
It might be helpful to print these forms and complete information prior to the first office visit.
Your Forms
Please click on this link for the New Client Information Packet. Print the packet out and complete the forms prior to the first office visit. Please bring the completed forms and your insurance card to the first office visit where we will review these forms.
Should you need additional copies of any of these forms you can print them out individually.
- Intake Information
- Authorization for Release of Information
- Physician Notification Selection
- Authorization for Release of Mental Health Information
- Authorization for Release of Substance Use Information
- Electronic Communications Release
- Payment Method Authorization
- Notice of Privacy Practices
- Receipt and Acknowledgement of Notice of Privacy Practices
These files are in print-ready form. They require a PDF reader plugin.
