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 firstname.lastname@example.org.
Please note that there are four forms: Client Information Sheet, HIPPA form, Welcome to Interface (Cancellation Policy) and How Did You Hear About Us.
- New Client Form
- Cancellation & Billing Policy
- HIPAA Form
- Credit Card Authorization Form
- Consent for Telehealth