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Office Forms & Information

     Patient Services Agreement & Office Policies


     HIPAA (Privacy) Information and Signature Page


     Patient Information Form—Adult (18 or older)


     Patient Information Form—Child/Adolescent (17 or younger)

     Payment Information Form

    No Surprises Act (NSA) Patient Qualification Information


    Authorization to Release Patient Information



    Telehealth via Video Conferencing Agreement



    Directions and Parking

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