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:	693 kb
File Type:	pdf

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2-financal_responsibility.pdf
File Size:	431 kb
File Type:	pdf

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3-confidentiality-and-informed-consent-for-treatment.pdf
File Size:	21 kb
File Type:	pdf

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4-patient-policy-agreement.pdf
File Size:	518 kb
File Type:	pdf

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5-heath-history-form.pdf
File Size:	254 kb
File Type:	pdf

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6-release-of-information.pdf
File Size:	102 kb
File Type:	pdf

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7__telepsychiatry-protocol-and-consent.pdf
File Size:	494 kb
File Type:	pdf

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8_adhd_treatment_agreement.pdf
File Size:	401 kb
File Type:	pdf

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9_buprenorphine_treatment___agreement.pdf
File Size:	477 kb
File Type:	pdf

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Be Sure to Schedule Your Appointment