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Documents

Intake Paperwork - Therapy

Please fill out our Therapy Intake Paperwork if you want to start services with a clinician or need to update your paperwork.

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Med - Management Intake 

Please fill out our Med Management Intake paperwork if you want to start Med-Management services.  If you are combining Med-Management with Therapy, you will provide sufficient information in your Therapy Intake; you do not need to fill this out. 

Intake Med Manage

Weight Management  Intake 

Please fill out our Weight Loss Management Intake to meet with Nick Taylor 

Intake Weight Loss

Release of Information (ROI)

*DO NOT FILL OUT UNLESS ADVISED BY CLINICIAN*

​This document is a legal form that allows clients to authorize the disclosure of their personal information to a third party. This document ensures that personal information is shared legally and with the individual's consent, protecting privacy and complying with regulations like the Health Insurance Portability and Accountability Act (HIPAA).

ROI
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