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Client Forms

Client Intake Form

  • Click the button above to find the client intake form for your first visit.

  • The form is a PDF fillable on the computer. You can complete and email back to: or print it out, fill it out with pen and bring it the first visit.

  • Completing these forms prior to coming for your evaluation will allow more time to focus on understanding what your goals are, performing the exam, and develop a treatment plan. 

HIPAA Information

  • Above is a link to a copy of the HIPAA Privacy Rules. This is the Health Insurance Privacy Accountability Act of 1996. It is a detailed explanation of how your personally identifiable health information is safeguarded and protected as well as what your rights are related to your health records.

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