Forms

The following forms have been provided for your convenience. Please feel free to fill out the appropriate forms on-line and bring them to the office, or you can fill them out at the time of your appointment (please allow extra time prior to your first appointment if filling out the forms in the office).

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Health Insurance Privacy and Portability Act (HIPPA)

All medical professionals are required by federal law to provide each patient with a copy of the Health Insurance Privacy and Portability Act or HIPPA document. Please fill out your HIPPA Form here.

Client Information Form

Please fill out your Client Information form here.

Information Release Form

Please fill out your Client Information form here.

Billing Form

Please fill out your Billing form here.

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