New Patient paperwork can be filled out and signed digitally:
Click the button below and follow the simple instructions to fill out your new patient packet
This consent form is for patients that are eligible to receive chronic care management
This consent form is for patients that are using our Telemedicine Services for remote medical care
This consent form is for patients that are using our Telemedicine Services
This outlines our chronic pain management policy and must be completed yearly
This form is used to request your private health records from your previous provider or from recent hospital visits
This form outlines our policy for patients who are taking buprenorphine
This is a tool that is used by patients and interpreted by your provider in order to screen for depression
This is a Consent Form for Office Based Addiction Therapy (OBAT) if you are Pregnant.
This is a Form to Complete for your DAST Screening Test if your Provider requests it.
This is a Form to Complete for your MENTAL HEALTH INTAKE.
This is a Form to Consent for Case Management.
CONSENT FOR BIRTH CONTROL INJECTION Medication: DEPOT MEDROXYPROGESTERONE ACETATE (DMPA)
CONSENT FOR TESTOSTERONE REPLACEMENT THERAPY - Injection or Topical Medication
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