New Patients
Acknowledgment of Receipt Notice of Privacy Practices
Acknowledgment of Receipt Notice of Privacy Practices (Spanish)
Medical Release
Medical Release (Spanish)
Notice of Privacy Practices
Notice of Privacy Practices (Spanish)
Patient Information - Adults
Patient Information - Adults (Spanish)
Patient Financial Responsibility Form
Patient Financial Responsibility Form (Spanish)
Existing Patients
New Patients
Acknowledgment of Receipt Notice of Privacy Practices
Acknowledgment of Receipt Notice of Privacy Practices (Spanish)
Authorization Caregiver-Guardian
Authorization Caregiver-Guardian (Spanish)
Medical Release
Medical Release (Spanish)
Notice of Privacy Practices
Notice of Privacy Practices (Spanish)
Patient Information - Pediatrics
Patient Information - Pediatrics (Spanish)
Patient Financial Responsibility Form
Patient Financial Responsibility Form (Spanish)
Existing Patients
New Patients
Acknowledgment of Receipt Notice of Privacy Practices
Acknowledgment of Receipt Notice of Privacy Practices (Spanish)
Authorization for Caregiver/Guardian (English and Spanish)
Medical Release
Medical Release (Spanish)
Notice of Privacy Practices
Notice of Privacy Practices (Spanish)
Patient Information
Patient Information (Spanish)
Patient Financial Responsibility Form
Patient Financial Responsibility Form (Spanish)
New Patients
Patient Information
Patient Information (Spanish)
Behavioral Health Office Policy and Consent for Treatment
Behavioral Health Office Policy and Consent for Treatment (Spanish)
Patient Financial Responsibility Form
Patient Financial Responsibility Form (Spanish)
Authorization for Behavioral Health and PCP to Share Confidential Information Form
Authorization for Behavioral Health and PCP to Share Confidential Information Form (Spanish)
Acknowledgment of Receipt Notice of Privacy Practices Form
Acknowlegement of Receipt Notice of Privacy Practices Form (Spanish)
Notice of Privacy Practices Form
Notice of Privacy Practices Form (Spanish)
