FILL OUT YOUR FORMS ONLINE
If you have any questions or concerns about filling out online forms please contact the office for assistance.
NEW PATIENT FORMS
Includes: New Patient Info, Medication Questionnaire, Notice of Practice Policies, Office Policy and Procedure Statement, Patient Consent Release Form, TMS Consent Form, HIPPA Consent Form, Authorization To Release Records, Genetic Testing Consent Form
FILL OUT NEW PATIENT FORMS HERE >>
CREDIT CARD AUTHORIZATION FORM
Includes: Credit Card Authorization Form
FILL OUT CREDIT CARD AUTHORIZATION FORM HERE >>
TMS CONSENT FORM
Includes: TMS Consent Form
FILL OUT TMS CONSENT FORM HERE >>
AUTHORIZATION TO RELEASE RECORDS FORM
Includes: Authorization To Release Records Form
FILL OUT AUTHORIZATION TO RELEASE RECORDS FORM HERE >>
BOTOX CONSENT FORM
Includes: Botox Consent Form
FILL OUT BOTOX CONSENT FORM HERE >>
DOWNLOADABLE AND PRINT FORMS
Our staff is always ready to help with your scheduling, insurance or anything else you may need during your time with us. We will take extra care to listen to your concerns, answer all your questions and thoroughly explain your condition and treatment options.
Here you will find the New Patient Registration Form for new patients, Initial Symptom Measure Form, Office Policy and Procedure Statement, and Notice of Privacy Practices. For your convenience and less time in the waiting room; please print, fill out and bring the form to your appointment at Integrative Behavioral Care.
