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Click on the picture to download the form.  Please complete all paperwork and sign, PRIOR to your appointment.  Thank you!

FORMS

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Adult Intake

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Child Intake

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Electronic Signature Authorization

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Telehealth Consent

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Email/Text Consent

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COVID-19

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Intern Consent

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Authorization - Release of Information

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Alcohol and Drug Assessment

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Adult Intake

Spanish

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Child Intake

Spanish

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Electronic Signature Authorization

Spanish

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Telehealth Consent

Spanish

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Email/Text Consent

Spanish

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COVID-19

Spanish

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Intern Consent

Spanish

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Authorization - Release of Information

Spanish

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Alcohol and Drug Assessment

Spanish

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