Important Forms

Please download the applicable form, fill out to the best of your ability, and bring with you to our first meeting. Thank you!

Patient Registration Form


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General History Intake Form


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Informed Consent for Services and Service Agreement Form

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HIPAA Notice of Privacy Practices Form

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Acknowledgement of Receipt of Privacy Notification Form

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GMM Release of Information Form

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GMM Event Sponsorship Request Letter Form

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Acknowledgement of Receipt of Privacy Notification Form

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GMM Release of Information Form

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