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Intake Forms and Questionnaires

The following intake forms are required upon arrival to your first visit. Forms are available for download and completion prior to the time of evaluation. Please complete the Medical History, Financial Policy, Privacy Practices, Appointment Reminder Consent. Forms will also be available in the clinic, please arrive 15-20 minutes before your scheduled appointment to allow ample time for check-in and paperwork. We will confirm your contact information, explain your insurance benefits, and collect photo ID, insurance card, and perscription/referral at the time of your first appointment.

 

 

Patient Portal Link For Completion of Initial Paperwork Online (preferred)

New Patient Forms to Print (if not completing the portal)

Medical History Form

Patient Health Questionairre-9

Notice of Cancellation Policy - Please Read

Notice Of Privacy Policy

COVID-19 Consent Form

New Patient forms to Print (if not completing the portal)- Spanish

Formulario de historial médico

Cuestionario de salud del paciente

 

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