Patient Forms

Medical New Patients

• Patient Agreement
• Patient Rights and Responsibilities
• New Patient Health History
• Lab Billing Consent
• Minor Consent to Treat

Counseling New Patients

• Client Agreement
• Patient Client Rights and Responsibilities
• Counseling Consent to Treat
• Counseling Consent & Assent to Treat Minors

Massage

• Massage Consent
• Massage Intake

Medical Record Release

• Record Release of Information

Appeals/Complaints

• Account Maintenance Appeal (pdf)
  

Notice of Privacy Practices

• Notice of Privacy Practices 2019