Register on our Patient Portal and click on the "Intake Paperwork" link to submit new client paperwork. See below for printable Client Forms.
New Intake Paperwork.Demographics (pdf)
DownloadRelease of Information of PHI (pdf)
DownloadConsent to Treatment for Minors (pdf)
DownloadYour Rights and Protections Against Surprise Medical Bills (pdf)
DownloadGood Faith Estimate.06.01.2023 (pdf)
DownloadPayment Agreement CC on File (pdf)
DownloadSliding Fee Application (pdf)
DownloadGAIN Agreement (pdf)
DownloadAre you ready to get on the path to a healthier you? Get in touch today to get started!
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