Forms for Your Care

  • New Patient Registration

    Complete our convenient online HIPPA compliant registration forms by scanning the QR code or clicking the button below.

  • Authorization for Release of Health Records to External Parties

    Complete this form to make informed choices regarding your health information and management.

  • Insurance Opt-Out Agreement

    This form is only required if you choose to opt out of using your insurance.

  • 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.

  • 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.

  • Credit Card Authorization