Forms We understand that your time is valuable.  That is why we have supplied you with online forms to complete in the privacy of your home. Please complete the following forms and bring them on your Welcome Visit along with your I.D. and insurance card so we may assist you.

Patient Information (Please print all forms and complete.  Thank you)

Patient Information.doc

Intake.pdf

Assigment of Benefits.doc

Financial Agreement.doc

HIPPA Acknowledgement Form.doc

Privacy Forms

HIPPA Privacy Form.doc (This copy if for your files.)

If you are accompanying in a minor (patient under the age of 18) for treatment, please complete the following form as well

Consent To Treatment Of Minor.doc