|Prior Treatment History
Prior Treatment History Form
Just a summary of our office policies.
|Patient Registration Forms
The packet includes: Registration Information, Consent for Treatment, Office Policies & Procedures, Patient Report, and the Symptom Checklist.
|Outgoing Patient Records Form
Consent to release our patient’s information to outside organizations.
|Incoming Patient Records Form
Consent to release patient information from outside organizations to our office.
|Credit Card Authorization Form
This form will be under lock and key along with your medical records.
|Freespira Program Registration Paperwork
Explanation of the program and policies