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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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