New Client Forms

Please bring the following items to your first appointment:

  • Completed Patient Questionnaire The questionnaire is lengthy, so please allow ample time to fill it out prior to your appointment. The form covers a lot of information because it helps us to be as thorough as possible and provide you with the best care to help you achieve your goals! Thank you for understanding!
  • A signed copy of the Office Policy
  • A signed and completed Insurance Script (If utilizing insurance as your form of payment)
  • A signed copy of the Authorization for Release of Information (If you would like your doctor to send health information to us, or would like us to fax paperwork to your doctor.)
  • A signed copy of the Privacy Practice Acknowledgement (HIPAA policy is provided at appointment)
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