Please print, complete and bring all other forms with you to your first appointment except for the New HIPAA Confidentiality Notice

For the New HIPAA Release of Information Form, please be sure you include the names of the people and entities whom you want to have access to the private health information. This would include naming your spouse if you want your spouse to have access to the health records.

Print & Complete

Children Registration Form Child's Biography Current Primary Caregivers' Biographies

New HIPAA Confidentiality Notice Signature Sheet for New HIPAA Confidentiality Notice

New HIPAA Release of Information Form  Neuro-Sensory Checklist

Download

These alternative forms are provided in Word format if you would prefer typing your answers.

Children Registration Form Child's Biography Current Primary Caregivers' Biographies