Forms

Below are links to fillable pdf forms and blank pdf forms that you can print and bring with you to your appointment.  If you are unable to use the fillable forms, click the blank pdf version of the form to print it and fill it out by hand. You will need to print and sign either version and bring it with you to your appointment.

To save paper you can print the forms that are 2 pages in duplex mode.

ADULT FORMS

1. Financial, Insurance & Cancellation Information Form (Fillable) or  Financial, Insurance & Cancellation Information Form (Blank PDF)
2. Adult Consent & Privacy Form (Fillable) or  Adult Consent & Privacy Form (Blank PDF)

ADOLESCENT FORMS

3. Child & Adolescent Information Form (Fillable) or Child & Adolescent Information Form (Blank PDF)