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:	699 kb
File Type:	pdf

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2-financal_responsibility.pdf
File Size:	434 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:	522 kb
File Type:	pdf

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5-heath-history-form.pdf
File Size:	255 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:	499 kb
File Type:	pdf

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8_adhd_treatment_agreement.pdf
File Size:	403 kb
File Type:	pdf

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9_buprenorphine_treatment__agreement.pdf
File Size:	479 kb
File Type:	pdf

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Be Sure to Schedule Your Appointment