Forms
Telehealth Consent June 2020.pdfTelehealth Consent Form
Telehealth Consent Form
Complete the form on-line or download the PDF, sign and return.
2023 Treatment Information and Consent.pdfTreatment Information and Consent Form
Treatment Information and Consent Form
Complete online here OR Download the PDF, sign and return.
Release of Info Authorization 2020.pdfRelease of Information Authorization Form
Release of Information Authorization Form
Download the PDF, sign and return.
HIPAA Notice and receipt 2020.pdfHIPAA Notice and Receipt Form
HIPAA Notice and Receipt Form
Acknowledgement of receipt required. Complete online here or Download the PDF, sign and return.