New Patients

New Patient Forms

Please read, print and fill out all of the appropriate documents listed below:

New Patient Information Sheet

Notice of Privacy Practices

Acknowledgement of Receipt of Notice of Privacy Practices

Personal History Form

Controlled Substance Medication Agreement

Client Rules/Missed Appointments Policy

Financial Acceptance Form

Consent for the Release of Confidential Information

Minor Policy

Medicaid Patient Rights

Insurances Currently Accepted

BCBS (Blue Cross Blue Shield)

Tricare

Cash