Forms

English Forms

All forms in English : Intake, Consent, Rights & Responsibilities, etc. Both Printable and Digital.

Spanish Forms

Para los pacientes que forman parte de nuestra comunidad de habla hispana, envíenos un correo electrónico para obtener más instrucciones sobre cómo programarse. Un traductor puede estar disponible para usted si lo solicita.

Intake Adult

Intake Adolescent

Intake Child (13 & Under)

Pain

(Substance Abuse)

Pain Stimulator

(e.g., Spinal Cord Stimulator)

Release

Primary Care Doctor

Release

Psychiatrist

Release

General Medical and All Others

HIPPA Consent

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Non-Discrimination Statement

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COVID Consent

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Telehealth Informed Consent

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Bariatric

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Intake

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Rights and Responsibilities

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