Patient Forms

To expedite the process to obtain Therapy Services, all new patients need to complete and sign the following forms (Electronic Signature) before your first appointment.

NEW PATIENT INTAKE

Click DocuSign button below to complete and sign new patient intake 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.

HIPPA PRIVACY
RIGHTS

Click Download button below to get to know your privacy rights.

Cancellation Policy

Click Download button below to learn about our cancellation policy.