Download and fill out the appropriate forms prior to arriving at our office. All forms are in .PDF format, therefore you will need Adobe Reader to view the files. Please see below to download Adobde Reader if you do not have the program. Please note the difference between Adult and Minor forms.


PLEASE ARRIVE 15 MINUTES PRIOR TO YOUR APPOINTMENT TO COMPLETE THE CHECK IN PROCESS.


Adult Client Intake Information
Adult Client Intake

Client Insurance Information
Client Insurance Information

Acknowledgement of the Reciept of the Notice of Privacy Practices
Acknowledgement of the Reciept of Privacy Pratices

Financial Policy
Financial Policy

Credit Card Statement
Credit Card Statement

Notice of Privacy Practices
Notice of Privacy Practices

Prompt Payment Fee Schedule Agreement
Prompt Payment Fee Schedule Agreement

Responsibility of Insurance
Responsibility of Insurance

24-Hour Notice Policy
24-Hour Notice



Minor Client Intake Information
Minor Client Intake Information

Agreement and Consent to Treat Minors
Agreement and Consent to Treat Minors

Client Insurance Information
Client Insurance Information

Acknowledgement of the Reciept of the Notice of Privacy Practices
Acknowledgement of the Reciept of the Notice of Privacy Practices

Financial Policy
Financial Policy

Credit Card Statement
Credit Card Statement

Notice of Privacy Practices
Notice of Privacy Practices

Prompt Payment Fee Schedule Agreement
Prompt Payment Fee Schedule Agreement

Responsibility of Insurance
Responsibility of Insurance

24-Hour Notice Policy
24-Hour Notice Policy