CLIENT FORMS

 

CLIENT INTAKE QUESTIONnAIRE

Please complete this questionnaire prior to your initial visit.

 

Payment & Cancellation policy

Please review this policy and sign prior to your initial visit.

Consent for treatment

Please review this consent and sign prior to your initial visit.

 

hippa consent

Optional form to use for incoming or outgoing confidential patient information. Complete only when necessary and upon mutual agreement.

 

No surprises act 2022

Please review this DHHS Notice and sign prior to your initial visit.

A Good Faith Estimate will be provided prior to your initial visit.