Forms for your Convenience.
Below are forms needed for your first appointment.
Please print and complete forms prior your initial evaluation to save time.
This form is so that you know the practice policies that we have in place.
This form helps with insurance! Please make sure to fill this out for your first visit!
Telemedicine Consent Form
This form is used for your first patient visit. Please make sure to fill this out!
Consent to Treat Form
This form is used for your initial patient visit. Please make sure to fill this out!
Informed Consent Form
This form contains: Consent for Treatment, Assignment of Benefits, and HIPPA Form.
Telehealth Consent Form
This form is used if you would like to consent to using the Telehealth Services.
Credit Card Authorization Form
This form is used to authorize payments with your credit card for services rendered.