Patient Forms

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New Patient - Intake Form

Credit Card Authorization

HIPAA & Informed Consent

Communication Consent

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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.

United Healthcare

United Healthcare - GEHA, Elevate, Elevate Plus

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