Forms

For all new clients, the forms below must be completed before your first visit.  Please review, print, and fill out the documents that are relevant to your care (see list below).

1. Intake Form: All new clients must complete this form.  (Intake Form)
2. Insurance Checklist: If you are planning to use your health insurance for payment, you must first verify your coverage.  As a convenience, we have streamlined this process for you.  Call the number on the back of your insurance card and ask these 5 questions.  Without this information we cannot bill your insurance company. (Insurance Checklist)
3. Medical Insurance / Clinic Policies:  Once your benefits have been verified, complete this document.  We will take a copy of your Photo ID, Rx, Insurance card, and Credit Card at the time of your appointment. (Medical Insurance / Clinic Policies)