Forms & Resources
Please review our list of forms to complete before starting.
Please note that all of these forms can be completed through our client portal. The client portal is the preferred way to complete the forms. If you are not able to complete the forms via the client portal, the forms below may be downloaded and completed and sent in via email or hard copy.
Required Forms
Practice Policies - March 2024(pdf)
Download
Consent for Treatment(pdf)
Download
Notice of Privacy Practices(pdf)
Download
Credit Card Authorization(pdf)
Download
Intake Form(pdf)
Download
Additional Forms
HIPAA Release(pdf)
Download
Request for a Reduced Payment (Sliding Scale) - rev20240615(pdf)
Download
Fiscal Intermediary (FI) Intake and Agreement Form - rev 20240717(pdf)
Download