New Patient Intake Forms
We have compiled digital copies of our patient intake forms for your convenience. Simply download the appropriate forms below, print, complete, and bring to your next appointment. While optional, having completed intake forms will expedite your visit.
Intake Forms for All New Patients
- Pretreatment Screening
- Patient Information Form
- Confidential Health History Form
- Treatment Consent Form
- Psychosocial Support Agreement
- Consent To Release Confidential Information
Additional Forms for New Suboxone Patients