Forms

PLEASE NOTE:  These forms are not currently hyperlinked and will only be available to new or current patients.

Referral Form

First Visit Policy

New Patient Information

Release(s) of Information

Electronic Access to Medical Record 

Scribe service agreement

HIPAA Privacy Policy

New Patient Policies

Credit Card on File

No-show Policy & Payment Agreement

Communication guidelines

Controlled Substances Agreement

Consent to Treat

Authorizations

Non-adherence or non-compliance

Behavioral Expectations

Therapeutic Relationship (non-dual)

No-Surprises Act

Attendance Policy

Termination Policy