FORMS

FORMS

CLIENT REGISTRATION FORM

Already have a therapist and have your appointment scheduled? GREAT! You are in the right place!


IF YOU DO NOT HAVE A THERAPIST ASSIGNED PLEASE CLICK TO GO TO OUR THERAPY REQUEST FORM

Client Registration

THERAPY REQUEST FORM

If you do not have a therapist assigned please click go to our therapy request form.

Therapy Request

RELEASE OF INFORMATION FORM

Need to give us permission to talk to someone about your treatment? This is the form for you!

Release of Information

UPDATE YOUR PAYMENT INFORMATION FORM

Please fill out this form if you need to update the method of payment we have on file for copays, deductibles, private pays, coinsurances, etc..

Payment Update

UPDATE YOUR INSURANCE INFORMATION FORM

Your insurance may change during the course of your treatment. This form lets us know any and all changes you have had to your insurance.

Insurance Update

VIDEO RELEASE FORM

Looking for the Video Release Form? You found it!

Video Release
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