Patient Forms Online

Registration and Consent Forms

Please complete and submit all three patient forms online.

1. Click the button of the form you wish to fill out, which will open in another tab.
2. Some required responses include date, phone and time formatting.
3. Enter your primary email address and Click to Sign in the proper fields.
4. You’ll receive a confirmation email from Adobe Sign when forms have been sent.
   Note: Registration is complete once you receive emails confirming submission of all three forms.

Registration Form

Consent Form

Health Questionnaire

We will receive and review your documents. Once approved, you’ll receive another email confirming the forms have been filed successfully. If you don’t get immediate confirmation, check the spam folder.

Make an appointment

Once you’ve completed the confidential forms and received email confirmation, patients age 18 and up may schedule a mental health assessment.

Schedule assessment