Patient Forms

Online Forms

Fill out your forms, online!

New Patient - Intake Form
Credit Card Authorization
HIPAA & Informed Consent
Communication Consent

Download Forms

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New Patient - Intake Form
Credit Card Authorization
HIPAA & Informed Consent
Communication Consent

Insurance Reimbursement Forms

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Click your insurance company to find your specific forms. Contact us with any questions.

Aetna

Blue KC

Humana

TriCare

United Healthcare

United Healthcare - GEHA, Elevate, Elevate Plus