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Patient Forms
New Patient
New Patient Form
Complete for 16yrs+
PHQ9 / GAD-7 / Mood Questionnaire
Minors: Non-Guardian Consent Form
Telehealth Consent Form
Release of Information
Annual Paperwork
Annual Paperwork
Complete for 16yrs+
PHQ9 / GAD-7 / Mood Questionnaire
Minors: Non-Guardian Consent Form
Telehealth Consent Form
Release of Information
CEH Paperwork - Español
Please note: We are still working on translating the new patient paperwork into Spanish. We appreciate your patience and will provide the completed forms as soon as they are ready.
Por favor tenga en cuenta: Aún estamos trabajando en la traducción del papeleo para nuevos pacientes al español. Agradecemos su paciencia y proporcionaremos los formularios completos tan pronto como estén listos.
Other Forms
Consent To Treat
Medicare Acknowledgement
Sliding Scale Application
FMLA Contract
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