Registration

Please fill out our Intake form.

Bring a picture I.D., your insurance card and any copay (if applicable) to your appointment. Please note social security numbers are required as the number is needed for billing purposes.

If the client is a minor, please be sure to complete insurance and information of responsible party on the intake form.

Sharing Information

If you would like us to share information with anyone- including family members, now or in the future, please fill out our Authorization to Release form.

Coordinating care with your primary care doctor or other medical professional is very important. There is a place on the “Intake” form for you to write the name and phone number of your health care provider.

HIPAA Policy

Please read the HIPAA Privacy Practices Notice. It will inform you of our policies regarding your privacy.

You may print if you’d like a copy for your records. It is not necessary to bring a copy of the HIPAA document to the appointment.

Important Note –

We take HIPAA compliance very seriously. Your privacy is important to us. We pride ourselves in keeping your best interest in mind at all times. We require authorization to speak with family members or any additional people.