Patient Forms
These patient forms can either be printed out and faxed in prior to your appointment (888-315-7712), or, you can log in to your patient portal and securely fill them out.
Patient Consent and Legal Documents
- HIPAA – Privacy Policies
- Español: Consentimiento Informado y HIPAA
- Release of Information
- Informed Consent for In-Person Services During COVID-19 Public Health Crisis
- Informed Consent for Telemedicine Treatment
- Demographic Form
- Financial Agreement and Authorization
- Patient Discharge AMA or RMS
Medical History and Informational Documents
- New Patient Medical History Form
- Returning Patient Medical History Form
- Post-COVID Anxiety and Depression Questionnaire