Patient Forms

New Patients

If you wish for your therapist to release information about you and your treatment, you must complete a release form.

Digital Forms

1. 1. Authorization to Release Professional Information
   2. You can save time at your first appointment by submitting your remaining FORMS ONLINE

Printable Forms

Click on the the following link, print the forms, complete and sign them and bring them with you to your first appointment.

• • Printable Forms for New Patients, in a single download

Individual printable forms:

• • Authorization to Release Professional Information
  • Patient Financial Responsibility Statement
  • Insurance Information
  • Client Information
  • Consent to Treat
  • Insurance Release
  • Payment Policy
  • Privacy Practices
  • Reminder Call
  • Notice of Right to a “Good Faith Estimate”