FORMS
This page is for already existing patients to access forms that are helpful or necesary for your treatment. You can click on the image to access the document or a link to electronic forms
Patient Demographics
Demographics form for new patients and to update any demographic information
Patient Terms / Policies
Policies / Terms for all patients that are important for to review and understand
Patient Acknowledgements
Reviews Consent to Treat / Authorization to Release Medical Information / Assignment of Benefits / Notice of Privacy Practices / Notice: “Right To Receive A Good Faith Estimate Of Expected Charges” Under The No Surprises Act
Release of Information
Patients to fill out & sign this to either release or allow receipt of information, verbal or written, to or from another party
HIPPA Information
HIPPA guidelines for your review of your privacy
Intake Screening
Complete as new patient prior to intake to ensure necessary information is provided for through evaluation