Please fill out these documents and bring the completed forms with you to your first appointment.
Adult New Patient Forms
Minor New Patient Forms
2023-Spanish-Minor-New-Patient-Packet
MINOR Consent for Treatment Form 2023
15-PromiseMinorConsentforTreatmentForm2023 (1)
Medical Release of Information Forms
Authorize to Release Protected Health Information
Autorizar la revelación de información
Autoriser la divulgation de renseignements protégés sur la santé
Mental Health Release of Information Forms
Authorize to Release Behavioral Health Information
Autorizar la revelación de información de salud conductual
Autoriser la divulgation derenseignements protégés sur la santé
Persons Involved in Care Forms
Who can Discuss your Medical Information
Quién puede discutir su información médica
Qui peut discuter de vos renseignements médicaux
Name Change Form
PATIENT NAME CHANGE OR UPDATE FORM
FORMULARIO DE CAMBIO O ACTUALIZACIÓN DE NOMBRE DEL PACIENTE