Forms


Graphic image of a magnifying glass over three lined pages

Please read and fill out these forms before your first appointment, or you can arrive fifteen minutes early to fill them out at the office.

Forms to read:

Notice of Privacy Practices
This form does not need to be printed unless you want a hard copy for your personal records.

Forms to Print and Sign:

Informed Consent Agreement
Insurance Information
Insurance Coverage Inquiry
Notice of Privacy Practices Acknowledgement
Credit Card Authorization
Release of Information