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Healing Anxiety & Depression

Please print out and complete the following patient information forms prior to your appointment.  You will need to fax, email or mail the completed forms to our office prior to your appointment.      If you are unable to do so, please bring the completed forms with you to your first appointment.     If the forms are not completed at your first appointment, you may be asked to reschedule in order to allow time for you to complete them.

When you call our office to schedule your new patient appointment, please be ready to provide the operator with your insurance information including the Social Security Number and Date of Birth of the patient and responsible party.


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Welcome Letter Fee & Consent Form
Demographics Form Current Medications
History Form Medication Disclosure
Medication List Medicaid Private Pay Form

Informed Consent