Forms

I now use an online portal for new patient intakes.  New patients, please wait for an invite to the portal to complete intake forms. 

If you are already a patient and need the link to the patient portal again, please contact Theranest for support or ask us to send you a new login link.

Other forms often needed:

Permission to Release Information

Legal Fee Agreement

Miscellaneous Forms and Documents:

Release of Information

Substance Abuse Policy

Report of Suspected Dependent Adult Elder Abuse

Suspected Child Abuse Report