Forms

Your intake packet must be completed prior to your first appointment.  Please complete them electronically on the portal, or print the following and bring to your first session.  

Informed Consent and Office Policies

Demographic and Insurance Information (If you have already provided your insurance information, you may skip the bottom section of this form and complete the top section only.)

Intake Questionnaire

Authorization for Release of Information (Complete this form if you would like your doctor to coordinate care with another provider, family member, or agency).

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