Patient forms

Please take the time to print and fill out all of the following forms, at home, before coming to the clinic for your appointment. Without these forms we may have to reschedule your visit. Please bring past lab work, imaging, current medications and supplements to your first appointment.

Thank you for taking your time to do so we appreciate it.

Forms for Your First Appointment: (Please read and fill out all of them)

FOC intake
Consent for Treatment
HIPPA/Email Consent
Payment Agreement
Non-insurance Coverage

Forms for Specific Appointments:

Detox Program Intake Form
ROC intake (Fill this out only if you have been to the clinic before)
Acute intake