Documents

The following documents are available to download and print ahead of your office visit:

NEW INTAKE ADULT PATIENT FORMS (ENGLISH)

AMA Treatment Consent.pdf

AMA HIPAA.pdf

AMA Patient Demographic Form.pdf

NEW INTAKE CHILD PATIENT FORMS (ENGLISH)

AMA Treatment Consent Minor.pdf

AMA Treatment Consent.pdf

AMA Patient Demographic Form.pdf

AMA HIPAA.pdf

AMA HIPAA Spanish.pdf

FORMULARIO DE ADMISIÓN PARA NUEVOS PACIENTES ADULTOS (EN ESPAÑOL)

AMA Treatment Consent Spanish.pdf

Spanish Demographic Form.pdf

FORMULARIO DE ADMISIÓN PARA NUEVOS PACIENTES MENORES DE EDAD (EN ESPAÑOL)

AMA Treatment Consent Minor Spanish.pdf

AMA Treatment Consent Spanish.pdf

AMA HIPAA Spanish.pdf

Spanish Demographic Form.pdf

HYPNOSIS INTAKE PATIENT FORMS (ENGLISH)

Hypnosis Intake Form.pdf

Hypnosis Informed Consent.pdf

Hypnosis Assessment for Weight Loss.pdf

Hypnosis Assessment for Smoking.pdf