Prepare For Your First Visit

Following is a list of forms that may be required by your provider as you pursue treatment for yourself or a family member. They are supplied in PDF format for ease of printing and in turn filling out as requested by your provider.

• Financial and Billing Information
• Patient Information Sheet
• Behavioral Health Rights and Responsibilities
• Acknowledgment of Receipt of Joint Notice of Health Information Practices
• Consumer Health Inventory: English
• Consumer Health Inventory: Spanish
• Birth and Development History
• Consent to Treatment Form
• Medical Intake Form
• Medication Review