Click on the title below to download your form/s.
Adult Intake Paperwork
This is the registration packet that you need to complete prior to your first appointment. You may download, print, and complete these forms to bring them to your appointment. Please also print and complete the medication form (below).
Adolescent Intake Paperwork
If you are in high school and through your sophomore year in college, this is the registration packet that you and your legal guardian(s) need to complete prior to your first appointment. You may download, print, and complete this form as well as the medication form (below) to bring to your initial appointment. Please note, spaces requiring a signature must be signed by a guardian.
Child Intake Paperwork
If you are in 8th grade or younger, please have your guardian complete this paperwork as well as the medication form (below) and bring it to your first appointment.
Please complete this form for your initial appointment and any time that you have a medication change. This will help us keep your medications updated in our system and better serve you when consulting with other healthcare providers.
Release of Information
You may download, print, and complete this form if you would like another person to have limited or all access to your records. For example, you may want us to share treatment recommendations with your primary care physician, or you may want a family member to call in and schedule appointments or make payments on your behalf. In these cases, a release of information is required.