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Patient Forms

This lets us know the history and current state of your health. What questions, concerns, goals, regarding wellness do you have? Let us know!

PATIENT HISTORY & FINANCIAL FORM

CONTEXT OF CARE

AUTHORIZATION FOR TREATMENT

DETOX QUESTIONNAIRE

HIPPA PRIVACY POLICY

Contact Us

We look forward to hearing from you!

Our Location

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Office Hours

Monday:

12:00 PM-6:00 PM

Tuesday:

12:00 PM-6:00 PM

Wednesday:

12:00 PM-6:00 PM

Thursday:

12:00 PM-6:00 PM

Friday:

Closed

Saturday:

Closed

Sunday:

Closed