Forms

New Patient Paperwork
If you are seeking couples counseling, please have both members of the couple complete this form as well.
(New Patient Paperwork is to be completed AFTER you have registered online by following the steps on the New Patient page or have called in and registered over the phone.)

Telehealth Informed Consent 
Required for everyone receiving telehealth services

Release of Information 
 Release of Information is OPTIONAL, if you have someone you want us to share your information with (physician, family member, another provider, etc)

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In-person Consent during Covid-19 
Only to be completed by existing patients with unique circumstances who have made special arrangements with their provider to be seen in person.

For internal providers only: In-Person Appointment Checklist
​Only to be completed by internal providers

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Our Policies