Please download, print and complete the forms below prior to your first visit. Also, please bring a list of your current medications and be sure to
bring your insurance card or cards to your first visit.
Professional Services Agreement, Notice of Privacy Rights and Policies and Release of Information
Only the signature page (page 9) of this document needs to be brought to the office. The release of information at the end of this form is available if you would like your protected information shared with others, such as your physician for purposes of coordinating evaluation or treatment efforts.