Proper Forms to Fill Out

you have the ability to fill the forms out on your device however after filling them out, you will need to print them in order to sign or initial them with your signature.

1-intake-and-insurance-information.pdf
File Size:	91 kb
File Type:	pdf

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2-financal_responsibility__1_.pdf
File Size:	69 kb
File Type:	pdf

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3-confidentiality-and-informed-consent-for-treatment.pdf
File Size:	70 kb
File Type:	pdf

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4-patient-policy-agreement__1_.pdf
File Size:	67 kb
File Type:	pdf

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5-health-history-form.pdf
File Size:	110 kb
File Type:	pdf

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6-release-of-information.pdf
File Size:	58 kb
File Type:	pdf

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7__telepsychiatry-protocol-and-consent.pdf
File Size:	417 kb
File Type:	pdf

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8_adhd_treatment_agreement.pdf
File Size:	61 kb
File Type:	pdf

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9_buprenorphine_treatment___agreement.pdf
File Size:	83 kb
File Type:	pdf

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Be Sure to Schedule Your Appointment