Your First Visit

Your First Visit Forms

For your convenience, please complete the forms provided here.

Client Information: Save time. Please complete, print, and bring a copy of this form with you to your first visit.

Information and Agreement: Please print and sign two copies of this form and bring them with you to your first visit.

HIPAA Form: The law requires that you are provided and acknowledge receipt of the Health Insurance Portability and Accountability Act.

Acknowledgement of Receipt: Please print and sign this Acknowledgement and bring it with you to your first visit.

 

Forms best viewed with Adobe Acrobat Reader:

Windows PC
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iPhone and iPad
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Android
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