Intake Forms

Intake Forms:

When you have arranged for an appointment you will be asked to complete several intake forms. You may download them from below (requires Adobe Acrobat) pick them up at the office in advance or request that we mail them to you. You may also complete them when you come for your first appointment, however we ask that you come in at least 25 minutes prior to your appointment time so that you will not be rushed. If you have any questions you are encouraged to call or ask the receptionist as you go along.

All patients must review and sign the following forms. If the patient is under 18 the parent must give consent for treatment and complete the following forms in the child’s behalf.

  • Notice of Privacy Practices
  • Client Information
  • Bill of Rights
  • Consent Forms
  • Emergency Contact Information
  • Agreement to Pay