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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.

 

New Patient Paperwork - PDF Version to Print

New Patient Paperwork in Spanish - PDF Version to Print

Notice of Cancellation Policy - Please Read

Notice Of Privacy Policy

Patient Portal Link For Completion of Initial Paperwork Online

COVID-19 Consent Form

 

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