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New Patient Forms
Below are the necessary forms that need to be filled out before evaluation or treatment can begin.
Please click each form name and print at you convenience. The forms are in an Adobe pdf. format to assure consistency. You will need an Adobe Acrobat Reader in order to view the forms. If you do not have Adobe Acrobat Reader you can download a free reader by clicking here.
Authorization for Evaluatiuon and Treatment of Minors and Adult Dependants
Consent for Evaluatiuon and Treatment
Financial Agreement
Information Release
Insurance Authorization
Medication Requests
Patient Regsitration
Patient Questionnaire Form
Policies and Procedures
Verification of Notice of Privacy Policy
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