Below are some common forms that you would be asked to fill out when you first visit us. You can print them out and fill them out beforehand to save time.
For your convenience, you can download all forms, fill out and bring to your appointment.
While the office is closed due to the Coronovirus (COVID 19), all new clients please email completed forms back to interface.center@snet.net.
ALL forms must be completed, signed and received by the office along with copies of your insurance card (front and back) and your driver’s license 48 hours prior to your appointment. ALL FORMS ARE REQUIRED.
- New Client Form
- Cancellation & Billing Policy
- HIPAA Form
- Consent for Telehealth
- Credit Card Authorization Form