Forms
- PR Form 300-1 | Patient-Client Registration Form (approved 4-25-23)
- PR Form 300-2 | Consent for Care and Treatment (approved 4-25-23)
- PR Form 300-3 | Notice of Privacy Practices (approved 4-25-23)
- PR Form 300-4 | Patient Rights and Responsibilities (approved 4-25-23)
- PR Form 300-5 | Consent for Electronic Communication (approved 4-25-23)
- PR Form 300-6 | Patient Portal User Consent Form (approved 4-25-23)
- PR Form 300-7 | Consent for Telehealth Services (approved 4-25-23)
- PR Form 300-8 | Request for PHI Restrictions (approved 4-25-23)
- PR Form 300-9 | Authorization for Use or Disclosure of PHI (approved 4-25-23)