New Patient Forms

Please open and complete the following forms before your first appointment.

Individual Forms

• New Patient Registration
• Consent for Treatment
• HIPAA Privacy Practices
• HIPAA TPO Consent
• Telehealth Consent
• Financial Policy & Payment Agreement
• Credit Card Authorization
• Office Policies & Practice Agreement
• Consent for Communication (Email/Text/Voicemail)
• Insurance Communication & Billing Authorization
• Safety & Crisis Plan Agreement
• Medication Consent Form
• Controlled Substance / Stimulant Medication Agreement