Policies & Forms
All policies and intake forms will be electronically filled out and signed via the online patient portal once new patient comprehensive evaluation appointment is scheduled.
Please do NOT print/sign/email these documents.
New Patient Intake Packet
New Patient Intake Packet

General Consent to Treatment Form
General Consent to Treatment Form

Telemental Health Services Consent Form
Telemental Health Services Consent Form

Credit Card Policy and Consent Form
Credit Card Policy and Consent Form

Privacy Rights and Information Form (HIPAA)
Privacy Rights and Information Form (HIPAA)

Mental Health Privacy, FAQ
Mental Health Privacy, FAQ

Out of Network Insurance Guide
Out of Network Insurance Guide

Patient Rights and Responsibilities
Patient Rights and Responsibilities

Social Media Policy
Social Media Policy

Release of Information Form
Release of Information Form

Controlled Substance Prescription Agreement
Controlled Substance Prescription Agreement

Medicare Private Contract
Medicare Private Contract

Good Faith Estimate/ No Surprises Act Notification
Good Faith Estimate/ No Surprises Act Notification
