NEW PATIENT FORMS

“Complete both forms below.”


Forms must be completed at least 48 hours prior to your first visit. Complete them early and allow time to include as much detail as possible. I love early — and details! Be sure to hit Submit at the end of each form.

1

NEW PATIENT HEALTH INTAKE

Approx 40 - 50 minutes

2

CONSENT AND HIPAA BUNDLE

Approx 5 - 7 minutes

•••

Complete this only if patient’s under 18.

CONSENT TO TREAT MINOR