CLIENT FORMS

Download Below

You can fax these to us at 888-345-7010 or scan and email back. If you prefer, our Intake Department can email you the forms electronically. You choose what is easiest for you!

PATIENT INFORMATION

PATIENT RIGHTS AND RESPONSIBILITIES

CONSENT TO TREATMENT

 

HIPPA NOTICE

TELEHEALTH CONSENT

CREDIT CARD CONSENT

 

FCC RELEASE OF INFORMATION

REGISTERED INTERN CONSENT