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 – please arrive 10 minutes prior to your scheduled time to complete.

CLIENT-INFORMATION-5ca614cf8c432

INFORMED-CONSENT-CLIENT-AGREEMENT-5ca614c222869

HIPAA-NOTICE-and-CONSENT-5ca614bc707f9

ATTENTION-CLIENTS-2019-5ca614144e107

The following forms are optional: Credit Card Authorization Form and Release of Information Form:

CC-ELECTRONIC-PYMNT-AUTH-2018-5ca6117ca8fd4

Release-of-Information-Authorization-5cc077f9154f1