Medical Forms

To save time during your initial evaluation, please print and fill out both Initial Evaluation Forms prior to attending your appointment.  Below are other forms your therapist may ask you to complete during your course of treatment.

Initial Evaluation

Medical Intake Form

Patient Consent to Services

Form 3

HIPAA & Medical Release

HIPAA Policy

Patient Consent Form

Authorization for Release of Medical Records

Initial Evaluation

Medical Intake Form

Medical Intake Form

Medical Intake Form

All signed copies forms will be kept with your medical record for 7 years.  You will be provided copies of all signed forms, and can request a copy of forms at your request.

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