Psychiatric, Health & Wellness


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Required Forms

Electronically sign and submit first 4 forms- Last form-Patient History Data Form Print, Complete and bring with you to first office visit.

(Patients are required to complete all 5 forms only one time)

(When submitting 4 forms, click submit button ONLY ONE time)

1. HIPPA PRIVACY FORM

2. CONSENT FOR TREATMENT FORM

3. FEE SCHEDULE FORM

4. LATE CANCEL NO SHOW FORM

5. PATIENT HISTORY DATA FORM