- Contact Us
For New Clients
Please complete ALL of the forms in this section, and bring them to your first appointment:
Click here (first) for the Registration Form (online form).
If you are new to our medication management program please complete the two forms below, and bring them to your first appointment.
If you would like us to coordinate care with another provider, complete the Authorization to Release Information form below. You can use the Restrictions on Communication form (below) to specify certain information that you do not want to be shared.
Click here for the Communication Authorization (online form).
If you need all or part of your counseling record. Please allow 4-5 business days to process.