New Patients
Advance Health Care Directive Form
Caregiver/Appointed Representative Form (English) (Spanish)
Consent for Treatment and Patient Financial Responsibility Form (English) (Spanish)
Notice of Privacy Practices (English) (Spanish)
Patient Information (English) (Spanish)
New Patients
Caregiver/Appointed Representative Form (English) (Spanish)
Consent for Treatment and Patient Financial Responsibility Form (English) (Spanish)
Notice of Privacy Practices (English) (Spanish)
Patient Information - Pediatrics (English) (Spanish)
Sliding Fee Discount Schedule - 2023 (English) (Spanish)
Sliding Fee Discount Application (English) (Spanish)
Existing Patients
New Patients
Advance Health Care Directive Form
Caregiver/Appointed Representative Form (English) (Spanish)
Consent for Treatment and Patient Financial Responsibility Form (English) (Spanish)
Health History Form - Adult (English)
(Spanish)
Health History Form - Pediatric (English) (Spanish)
Notice of Privacy Practices (English) (Spanish)
Patient Information (English) (Spanish)
New Patients
Advance Health Care Directive Form
Caregiver/Appointed Representative Form (English) (Spanish)
Authorization for Behavioral Health and PCP to Share Confidential Information Form (English) (Spanish)
Behavioral Health Office Policy and
Consent for Treatment (English) (Spanish)
Consent for Treatment and Patient Financial Responsibility Form (English) (Spanish)
Consumer Information (English) (Spanish)
Notice to Psychotherapy Clients
Notice of Privacy Practices (English) (Spanish)
Psychotropic Medication Consent