Forms

Telehealth Consent Form
Telehealth Consent Form
Complete the form on-line or download the PDF, sign and return.

Treatment Information and Consent Form
Treatment Information and Consent Form
Complete online here OR Download the PDF, sign and return.

Release of Information Authorization Form
Release of Information Authorization Form
Download the PDF, sign and return.

HIPAA Notice and Receipt Form
HIPAA Notice and Receipt Form
Acknowledgement of receipt required. Complete online here or Download the PDF, sign and return.