Documents

Below are the forms and documents you can download at your convenience.  Documents with an asterisk (*) are part of the new patient packet.

* New Patient Letter

* New Patient Questionnaire 

* Insurance Form 

* Providers/Physician List

* Medication Verification

* Therapy History

* Financial Policy 

* Privacy Policy

* Email Subscription

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To release health information TO us from another provider:
 * Health Release Form ( To 1 CP Place)

To release health information FROM us to another provider:
Health Release Form (from 1 CP Place)

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 * Telemedicine Consent Form

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** Unencrypted Email Communication Consent Form **