Downloadable Forms

Below is a list of patient forms and informational documents, which may be downloaded and printed from your computer.

For PDF files, you must have Adobe Acrobat Reader installed on your computer. Download the free Acrobat Reader software here.

Adult Intake Form

Fill out this form if you are 14 years or older.
application/pdf - 138.51 KB

Fertility History

Print this form if you are seeking fertility treatments.
application/pdf - 70.77 KB

Pediatric Intake Form

Form for child 13 years of age or younger.
application/pdf - 126.9 KB

HIPAA Privacy Policy

Read this form for information on our office privacy policies.
application/pdf - 95.74 KB

Records Release

Print and fax this form if you need your medical records sent to another healthcare professional.
application/pdf - 52.67 KB

Detox Group Application

Print this form if you are interested in joining one of the upcoming detox workshops. Bring it with you to the first class.
application/pdf - 83.83 KB