General Consent Forms
Submit Online: General Intake Form
| HIPAA Release Form | |
| File Size: | 75 kb |
| File Type: | |
| General Consent for Treatment | |
| File Size: | 62 kb |
| File Type: | |
| General Intake Form | |
| File Size: | 227 kb |
| File Type: | |
| Authorization and Consent to Disclose Protected Health Information for Marketing and Promotional Purposes | |
| File Size: | 101 kb |
| File Type: | |
General Information Documents
| Health Insurance Portability and Accountability Act (HIPAA) Information | |
| File Size: | 57 kb |
| File Type: | |
How to use our Telehealth platform: Telehealth - HOW TO