Get Started - Download and Fill out Your Patient Forms

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Patient Consent

Consent for health treatment.

Demographic Information

Brief demographic information to let me know a little about you.

Teletherapy Consent Form

Consent in order to receive treatment via teleconference.

Credit Card Authorization

Prior to your first session we will need this to process payment.

Privacy Policy and Terms of Agreement

Signed form to acknowledge you have read through our privacy policy.