Downloads

If you’d like to get a head start on your initial treatment, you can download the forms I need you to fill out.  Simply click on the  form that you want, open it up, and print it out.  Fill out the form to the best of your ability and bring it with you to your first appointment.  This will eliminate the need for you to be at your first appointment 10 minutes early to fill out paperwork!

 

Health history:

    Health History Form Page 1
    Health History Form Page 2

 

Clinic policies:

 

    Clinic Policies

 

Direct billing:

    Benefit Assignment Form
    Electronic Transmission Authorization and Consent Form
Simplicity and balance.

Simplicity and balance.

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