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• Complete Patient Intake Packet Online
  • Download Patient Intake Packet PDF

Downloadable PDFs

• Authorization for PCP Consent Form
• Self Assessment Form
• Informed Consent for Treatment
• Email Consent
• Consent to Use and Disclose Protected Health Information
• Insurance Form
• E-Prescribing Form
• No Show Form
• Credit Card on File
• Medical Record Release/Request Form
• Information Release Form