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Patient Intake Forms

Once you schedule an appointment with our office, we'll send digital intake forms to you. If you prefer to print out and complete our intake forms by hand, access these 5 PDFs: 

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  1. Patient Information

  2. Consent to Use Virtual Care Tools

  3. Consent to Treatment

  4. Notice of Privacy Practices Policy and Acknowledgement of Receipt

    1. (Note, we just need page 5 "Acknowledgement of Receipt of Notice of Privacy Practices")

  5. Financial Policy

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