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Forms

Following are some forms commonly used in our office.

Consent to Treatment

This form gives us consent to treat you as a patient.

Release of Information

This form allows us to release your information to another doctor.

Electronic Consent Form

This form allows us to contact you electronically, through email or text.

Hippa Policies

This gives you all the information on your rights to privacy.

Initial Intake Questionnaire

You can fill this out prior to your initial session to give your clinician relevant history.

Credit Card Information

This form allows you to keep your credit card on file to seamlessly stay up with your co-payments.