Medical Records, Letter Requests, and Release of Information (ROI)
If you are requesting a letter or medical records, please fill out a Release of Information (ROI) and Medical Records and Letter Request Form and turn them into our office. Please allow up to 14 days for requests.
Should you need to share information with another individual or facility, you will need to fill out a Release of Information and turn it in to our office.
Medical Records and Letter Request Form
New Patient Registration Forms
*Please Note*
Due to overwhelming need, we are not accepting new counseling and therapy patients unless the person is enrolled in an EAP program. We are also accepting new addiction patients participating in our Medication-Assisted Treatment (MAT) program and new psychiatric medicine management patients.
If you are a new patient, please have the following forms filled out prior to your first appointment. Please bring these forms with you, or plan on coming to your appointment about 15 minutes early to fill them out in the office. Please bring your ID and insurance cards with you to your appointment.
New Patient Registration Forms