FOR CONSENT FORMS – CLICK HERE
Questionnaire – Success Rep (ENG) – Click Here
Questionnaire – Success Rep (SPA) – Click Here
NEW PATIENT:
New Patient Female Intake (ENG) – click here
New Patient Female Intake (SPA) – click here
New Patient Male Intake (ENG) – click here
New Patient Male Intake (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:
