New Patient Forms

Please print and fill out each document listed below and bring them to your next visit.

Psychiatric services forms:

Authorization for Release of Information
Authorization for Release of Information Page 2
Consent to Treatment
HIPPA
Intake Form for Work
Patient Privacy Questionnaire
Patient Rights
Pharmacy Information
Prescription and Refill Policy
Quick Demographic Information

Therapeutic services forms:

Authorization for Release
of Information

Have Questions?

Ask us anything.

Our doctors and therapists are available to answer your messages.

To schedule a visit, let us know when you want to come in and a member of our staff will contact you within 24 hrs. to confirm.

If you have an emergency or require immediate attention, please call 911.

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