In this section, you can choose which intake form to fill out. It is a TWO page form, in either English or Spanish so please remember to print both pages. First, click on the links of your choice. When the form(s) appear, RIGHT-CLICK on each of the pages and select “PRINT”.
Of course, you also have the option to fill out the form(s) during your initial visit!
I understand the information disclosed in this form may be subject to re-disclosure and may no longer be protected by HIPAA privacy regulations and the HITECH Act.