Patient Forms
These patient forms can either be printed out and faxed in prior to your appointment, or, you can log in to your patient portal and securely fill them out. Please call our office for the fax number.
Patient Consent and Legal Documents
- HIPAA – Privacy Policies
- Español: Consentimiento Informado y HIPAA
- Release of Information
- Informed Consent for In-Person Services During COVID-19 Public Health Crisis
- Informed Consent for Telemedicine Treatment
- Demographic Form
- Financial Agreement and Authorization
- Patient Discharge AMA or RMS
Medical History and Informational Documents
- New Patient Medical History Form
- Returning Patient Medical History Form
- Post-COVID Anxiety and Depression Questionnaire
Employee and Student Documents