Adult seeking treatment for yourself

Adult Intake Form
Adult Medical History Form
Adult Treatment Goals Form
Health Insurance Portability and Accountability Act (HIPAA) Akcnowledgment Form
HIPPA- WA Notice form

Minor or an adult seeking treatment for your minor child

Child intake form
Child Family History Form
Washington Notice Form
Health Insurance Portability and Accountability Act (HIPAA)
Due to security and confidentiality issues, we have not made it possible for you to return these forms to us electronically. Please bring all of your completed forms to our office when you come for your appointment.