Downloads
View and download forms to print at home and fill out before your visit.
- Authorization to Disclose Protected Health Information to Primary Care Physician
- HIPAA Privacy Practices
- Individual Patient’s Authorization
- Informed Consent for Teletherapy
- Mood Survey
- Notice of Privacy Practices
- Patient Information/Financial Agreement
- Patient Record of Disclosures
- Patient Rights & Responsibilities
Contact Me
Ask a question or inquire about an appointment below. For emergencies call 911 or visit your nearest hospital.