Please Read Before First Visit
To make your first visit more effective please fill out and bring with you the outpatient registration form. Please note that we are updating the address on all of our forms to the new address: 708 E. 19th Street.
|Patient Registration Form|
Here is a list of other forms that we may go over in our first meeting, particularly the treatment contract and notice of privacy practices:
|Outpatient Treatment Contract|
|Notice of Privacy Practices (Brief Version)|
|Authorization to Release Confidential Records and Information|
|Consent to Use and Disclose Your Information|