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Patient Forms & Links

Forms and Links

Download forms by clicking links below:

Please Print Single Sided For Charting Purposes


* Credit Card Authorization Form is for all payments after EAP's and/or copay and any patient responsibility

* Please verify your insurance information before booking an appointment:

-Any copays or coinsurance you may have

-Your deductible

-If you have any preauthorizations

-Coverage for individual and/or family sessions

*Payment will be required at time of visit

Patient Intake Form

Credit Card Authorization Form

Telehealth Consent Form

Electronic Signature/Delivery 

           Authorization Form

*The Patient Intake Form includes all other forms included on this page.  Individual pages are for use on an as needed basis.

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