Forms
(Please click on any underlined form or question to view and/or to print.)
Introductory Information for Our Patients
Notice of Patient Privacy (HIPAA)
Adolescent Screen
Adult Screen
All Forms to be Printed, Completed and Returned by New Medical Patients
Intro, Patient Information, Health History, Financial Policy, Consent & Disclosure, and Medical Release
Patient Consent Release/Financial Policy
Medical Records Release form
Notice of Patient Privacy (HIPAA)
New Counseling Patient Forms
New Counseling Patient Packet
Primary Care Provider Release
Miscellaneous forms or information (to view or print)
What is an ABN?
ABN form
Advanced Directive form
What is a PA?
What is Marriage and Family Therapy?
Patient Satisfaction Survey form
Insurance and Payment Policies
Preventative Exam Information