Forms

Forms to be Completed Prior to First Appointment

Please Print Out and Complete the Following Forms Prior to Your First Appointment. 

ADULT COMPLETE PACKET

Total of all forms below
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PRACTICE POLICIES & AGREEMENT

AUTHORIZATION TO OBTAIN AND RELEASE INFORMATION

Please print & complete a form for your Primary Medical Doctor and your therapist (if applicable)
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ADULT INTAKE FORM

CARD ON FILE FOR PAYMENT

NOTICE OF PRIVACY PRACTICES

The Journey to Wellness starts with you