Forms

You may be asked to fill out new patient forms, questionnaires and/or yearly consent forms. We have put together some of those so you can print them and fill them out before your appointment. Thank you for assisting us in expediting your check-in process.

English / Inglés

• Authorization for Family Member or Appointment Person

• Registration

• Consent to Treat/Bill & Privacy Information

• Release of Information

Español / Spanish

• Autorización para familiar o persona designada

• Registro de Pacientes

• Consentimiento para Tratamiento/Facturación e Información de Privacidad

• Permiso para la Divulgación de Información Médica

Mental health screening forms

• Mental health intake form
• Depression screening form phq-9 (English)
• Depression screening form phq-9 (Español)