FORMS
Required Documentation
These five electronic forms, listed below, must be completed prior to your first evaluation. Please take the next 8-15 minutes to fill out the forms below.
Click on the hyperlinks below or (CTRL+click each link) to open up multiple windows.
Informed Consent for Treatment
Patient Notification & Privacy Policy
Cancellation & Attendance Policy
If these forms are not completed prior to the evaluation, it may take away from your allotted evaluation and treatment time. Please take the time to fill them out prior to our initial visit. Thank you!
NEW PATIENT REGISTRATION FORM
Basic information to help me connect and with you.
Programs Not Covered: Medicare/Medicaid, Worker's Compensation, Motor Vehicle Accident
INFORMED CONSENT FOR TREATMENT FORM
Please read all information prior to your episode of care.
CANCELLATION & ATTENDANCE POLICY
Expectations on attendance and procedure for cancellation.