Patient Forms

New patients will need to fill out several forms before therapy can begin. To make the process as smooth and efficient as possible, we provide the most important documents as downloads right here on our website.

 

Find out which forms you need to submit, select the appropriate download link and return the completed documents to our practice either in person, by fax or as a scanned PDF file via e-mail. Naturally, all forms are also available at the practice; however, filling them out in advance saves time.

If you are unsure which forms to fill out, don't hesitate to contact us.

Note: You will need Adobe(r) Reader(r) to view PDF files. If you do not have it, you can download it for free.

New Patient Registration Form:

Please download and complete the new patient form before your first visit. Thanks!
Prism_New Patient Intake Form.pdf
Adobe Acrobat document [12.2 KB]

Release of Information Form:

This form allows us to communicate with other doctors or providers.
Prism_Release of Information Form.pdf
Adobe Acrobat document [1.2 MB]

"HIPPA" Form:

This notice describes how health information about you may be used and disclosed and how you can get access to this information.
Prism_Hippa_Form.pdf
Adobe Acrobat document [272.0 KB]
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