New patients: Please fill out the new patient intake forms and the incomplete sentences form that is appropriate for your age group.
Parents and guardians of minors: Please fill out the intake form but we ask that the minor patient complete the incomplete sentences independently.
New Patient Intake Forms
- Patient Intake Form (PDF)
- HIPAA Notice of Privacy Practices (PDF)
- Choose the form for your age group and complete the sentences:
If you would like us to obtain or exchange your records from a hospital or doctor's office, or if you would like to grant permission for us to communicate with select individuals regarding your treatment, please complete the form below.