New Patients
Please print and fill out the following forms and bring them with you to your first appointment.
Consent for Evaluation or Treatment | |
File Size: | 101 kb |
File Type: |
Contact and Demographic Information | |
File Size: | 92 kb |
File Type: |
Authorization to Release Information | |
File Size: | 149 kb |
File Type: |
Federal Notice of Privacy Practices (HIPAA) | |
File Size: | 15 kb |
File Type: |
Telemedicine Consent | |
File Size: | 73 kb |
File Type: |