Patient Information
| Forms | 
|---|
| USA Intake Form * | 
| USA Privacy Notice | 
| Receipt of Privacy Notice * | 
| PHI Sharing Authorization Form * | 
| PHI Request Form * | 
*These forms are required at the first appointment.
 
| Forms | 
|---|
| USA Intake Form * | 
| USA Privacy Notice | 
| Receipt of Privacy Notice * | 
| PHI Sharing Authorization Form * | 
| PHI Request Form * | 
*These forms are required at the first appointment.