Forms below you can electronically sign with our secure E Signaure software.
- Professional Disclosure Statement
- Clinician-Patient and Financial Responsibility Agreement
- Electronic Payment Disclosure
- Email and Text Risk Disclosure
You can download forms, print, fill it out, scan and email to me or you can edit it with Adobe Reader DC, save document and email it as an attachment to [email protected]
Click on an image below to download a free version of Adobe Reader DC