We are happy to provide you with HIPAA-secure forms that you can fill out right on your computer. No printing or hand writing necessary! Simply find the form you need below, click on it and the form will open in a new window. Fill it out right on your computer and hit the “submit” button at the bottom of the form. We will receive your form through our HIPAA-secure email and have it ready to go before you arrive for your appointment. It’s that easy!

Adult Questionnaire

Children’s Questionnaire

Please fill out the extended form if your child has trouble with reading, homework or struggles in school.

Children’s Questionnaire-Extended

Please print this form, fill it out and bring it to your next appointment.

Medical Release Form

To our new patients: Please take the time to fill out our “Office Financial Policy” form, as well as our “Consent for Use or Disclosure of Health Information.” This will help expedite your visit in our office.

Office Financial Policy

Consent for Use or Disclosure of Health Information