Patient Forms


Please print these forms, fill them out and bring them to your initial visit. This will decrease the waiting time; however, you will still need to arrive at least twenty minutes early for your first visit.

Notice of Privacy Practices


Adult Patient Forms

Adult General Forms

If you are an adult seeking treatment for ADD or ADHD, please fill out this form in addition to the previous form.

Adult ADD/ADHD Forms


Children/Adolescent Patient Forms

Children and adolescents under the age of 17 need to fill out this form.

Children/Adolescent Form


Health Advantage Patients

If you have Health Advantage for your medical insurance, please read the following form.

Health Advantage



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