Patient Forms

Before your first appointment, you’ll need to fill out the following forms.

Click on each of the eight (8) patient forms to download.  Please be sure to bring all of the forms, even if you think you may not need one of them.

You may fill them out and bring them with you to your appointment, or email them back to me before your appointment.

  1. Basic Client Information
  2. Initial Appointment Information
  3. Information Release
  4. Patient Consent Form
  5. For Male Patients
  6. For Female Patients
  7. Credit Card Authorization
  8. HIPPA 

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