Patient Forms
Coming to visit us for the first time? Please print, fill out, and bring the following forms with you. We look forward to meeting you!
New Patient Packet - Adult
New Patient Packet - Child
Individual Forms
Medical Release: Authorization for Release of Medical Information
HIPAA: Patient Consent for Use and Disclosure of Protected Health Information
Patient Health History
Sliding Scale Form
Behavioral Health Services Contract
Contact Form
Child Health History
Flu Form - 2018