Opening Hours

Monday - Friday
8:00 AM - 7:00 PM

Working To Strengthen Families

Appointment Forms 2018-07-29T02:06:04+00:00

Appointment Forms

For your convenience we have added these forms for you to fill out prior to your initial visit. Please download the form or forms that pertain to you. Please bring the completed information with you at the time of your arrival.

Youth Medical History

Youth Screening and Intake

Adult Medical History

Adult Screening and Intake

Consent for Release and Receipt of Confidential Information

About Our Practice

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Contact Info

12345 West Elm Street

Phone: 1.888.456.7890

Fax: 1.888.654.9876

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