Patient Forms

Fill out your forms to help us prepare your treatment plan and keep appointment wait times to a minimal...


Telehealth Consent Form:
This form is required if you wish to use telehealth for online, telephone, and video consultations.

TELEHEALTH CONSENT FORM

Patient Interview:
Our Patient Interview Form is comprehensive and required for us to properly prepare a treatment plan for you.

PATIENT INTERVIEW FORM

Medical Records Request:

Allows us to release your Health Information Records to other persons and Medical Practices.

MEDICAL RECORDS REQUEST FORM

HIPAA Release:

List of persons you allow us to discuss your health with.

HIPAA RELEASE FORM

Pay My Invoice:

Pay your invoice with our secure form.

PAY MY INVOICE FORM

Contact Us:

Feel free to message us with your questions.

CONTACT US FORM
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