INTAKE PAPERWORK


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WE ACCEPT MOST INSURANCES.
We also accept HSA and benefit cards, as well as standard Mastercard, Visa, & Discover, Cash or Check.
Thank you!

Introduction to Services

Information about our practice, HIPPA Privacy and grievance procedures.

Adult New Patient Forms

for any individual age 14 and up.

Child New Patient Forms

for any individual age 5-13.

Alcohol and Other Drug Abuse New Patient Forms

for any individual seeking service for drug or alcohol use.

*Click on links to access PDF file