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Patient Forms

New Patient Intake Packet

  • Patient Intake Form

  • Release and Waiver for On-Site Services (COVID-19)

  • Communications Policy

  • Financial Agreement

  • No Show/Tardiness Policy

  • Release of Information Authorization Form

New Patient Intake Packet

Education Institution
Disclosure Authorization

HIPAA Policy

Image by Ashton Bingham

Make an appointment today!

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