As a patient at our clinic, you may be requested to complete one or more of the following forms. In an effort to save time when you come in, you can print the form(s) directly from this site. Just click on the link below to open the form you need, then use the File > Print function on your computer to print the form. (You will need to have Adobe Reader on your computer in order to open and print the forms. We recommend downloading only the most recent version of Adobe Reader; the Adobe Reader download is free.) 

• Financial Policy
  
• HIPAA Consent for Purposes of Treatment
  
• Patient History Form
  
• Patient Intake Form
  

Or, if you would like us to fax or mail the forms to you, just give us a call at 510-339-2116.