New Patient Forms
WELCOME! We look forward to our first meeting with you. We want to ensure that you have a positive and productive first visit. We are asking you to take some time to fill out this form to help us prepare for our meeting. If you do not feel comfortable providing this information, that’s okay too.
You will be meeting with us and we need to obtain your consent for that treatment. If you have any questions about this consent, please let us know.
This is an AUTHORIZATION TO RELEASE INFORMATION. In order for us to share information about your treatment with another provider, or other person involved in your care or to transfer care, please fill out the attached form, and email or mail to our office.
Have questions or want more information? Contact us here or directly at firstname.lastname@example.org