Forms

 

Please print out, complete and sign the following forms prior to your first appointment with me.

 

Microsoft Word File BioIntakeForm (36K)

Microsoft Word File HIPAA Notice (35K)

Adobe Acrobat PDF File Services & Fees (85K)

Adobe Acrobat PDF File Student History (89K)

Microsoft Word File Authorization for Release of Information (31K)

Microsoft Word File Vita (47K)

 

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