Forms for Your Care
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New Patient Registration
Complete our convenient online HIPPA compliant registration forms by scanning the QR code or clicking the button below.
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Authorization for Release of Health Records to External Parties
Complete this form to make informed choices regarding your health information and management.
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Insurance Opt-Out Agreement
This form is only required if you choose to opt out of using your insurance.
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Screeners / Questionnaires
As part of your mental health care, your provider may ask you to complete one or more of these screening tools to monitor how you are responding to treatment.
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Controlled Substance Agreement
If your treatment plan includes a prescription for a controlled substance, it is important to be aware of certain procedural requirements. This agreement establishes a mutual understanding between you and your provider regarding the responsibilities and expectations for using controlled substances safely and effectively.
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Credit Card Authorization