FOR OUR NEW CLIENTS in Flanders:

Prior to your first appointment, you may download and bring the following completed forms with you. This paperwork is also available at the office Рplease arrive 10 minutes prior to your scheduled time to complete.

CLIENT-INFORMATION-5afc65ecdf19b

INFORMED-CONSENT-CLIENT-AGREEMENT-5afc65f7bee65

HIPAA-NOTICE-and-CONSENT-5afc65f5a287e

ATTENTION-CLIENTS-2018-5afc65e438c2a

The following form is optional if you’d like to pay by credit card:

CC-ELECTRONIC-PYMNT-AUTH-2018-5afc65eb845a0