Patient Forms
To expedite the process to obtain Occupational Therapy Services, all new patients need to complete and sign the following forms via Docusign (Electronic Signature) before your first appointment.
NEW PATIENT INTAKE
Click DocuSign button below to complete and sign new patient intake form.
TELETHERAPY CONSENT
Click Docusign button below to complete and sign teletherapy consent form.
COVID-19 CONSENT
Click Docusign button below to complete and sign teletherapy consent form.
INSURANCE AUTHORIZATION
Click DocuSign button below to complete and sign insurance authorization
TREATMENT CONSENT
Click DocuSign button below to complete and sign consent authorization form.
PRIVACY
RIGHTS
Click Download button below to get to know your privacy rights.