New Patient Forms

You may download and print these documents by clicking on the link.  Available in Word or PDF format.

Please fill them out completely and bring them to the office when you come for your appointment. 

 Child Intake Form

Child Intake Form (pdf)

These forms are in Microsoft Word format.  

Patient Information & Insurance Form

Release to Primary Care Physicians

Treatment Consent Form

Patient Rights

Financial Policy

Medical Release and Assignment

Current Billing Policy

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These are the same forms in PDF format, if you do not have Microsoft Word.

Patient Information & Insurance Form

Release to Primary Care Physicians

Treatment Consent Form

Patient Rights

Financial Policy

Medical Release and Assignment

Current Billing Policy

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