Forms

Telehealth Consent June 2020.pdf

Telehealth Consent Form

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

2021 Treatment Information and Consent - Google Docs.pdf

Treatment Information and Consent Form

Complete online here OR Download the PDF, sign and return.

Release of Info Authorization 2020.pdf

Release of Information Authorization Form

Download the PDF, sign and return.

HIPAA Notice and receipt 2020.pdf

HIPAA Notice and Receipt Form

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