FOR CONSENT FORMS – CLICK HERE
Questionnaire – Success Rep NEW PATIENT (ENG) – Click Here
Questionnaire – Success Rep NEW PATIENT (SPA) – Click Here
Questionnarie – Success Rep EXISTING PATIENT (ENG) – Click Here
Questionnarie – Success Rep EXISTING PATIENT (SPA) – Click Here
NEW PATIENT:
New Patient Intake Forms for All Genders (ENG) – click here
New Patient Intake Forms for All Genders (SPA) – click here
NEW CHECK IN/INTAKE:
Updated Female Intake (ENG) – click here
Updated Female Intake (SPA) – click here
Updated Male Intake (ENG) – click here
Updated Male Intake (SPA) – click here
OTHER FORMS:
ED Quiz:
HIPAA:
HIPAA Authorization (Optional, ENG) – click here
HIPAA Authorization (Optional, SPA) – click here
COVID WAIVER (SPA/ENG)
COVID Waiver (ENG/SPA) – Click Here
PHQ-9: