The following forms and corresponding instructions have been provided for your convenience.
Please call or email us if you have trouble accessing or completing any form. We are happy to answer any questions you may have.
- Disclosure / Informed Consent
- Agreement for Wellness Services
- Client History [PDF]
- FSM Questionnaire [PDF]
If you are a new client, please complete the Agreement for Wellness Services, our Informed Consent, FSM Questionnaire, and Client History forms prior to your first appointment. *There is a $75 charge for ‘no shows’ (cancellations or last minute rescheduling less than 24 Hrs in advance).
In most cases, it may be valuable for us to review your prior medical records in assessing your current state of health. This form provides your authorization for our office to request medical records from your present and former healthcare providers.