Coming in for an appointment?
Want to get a jump on the paperwork?
When you come in, you will be asked to complete the following forms. Feel free to print these and fill them out in advance. The links below are PDFS.
Releases of Information:
–Release of Info MTM – if you are utilizing their medical transport
–WHODAS –World Health Organization Disability Assessment Schedule
You will be asked to sign the following forms in person, but feel free to read in advance:
Acknowledgement of Receipt of Notice of Privacy Practices
–Physicians Referral– If we are billing Medicaid