Forms

The forms listed below are for clients that have a new upcoming appointment. Please chose the appropriate form for you and fill it out before coming to the office. This allows more time for the actual meeting.

Also, please come with identification and your insurance card.

New Client Information (Printable Word Doc)

Adult history for Beacon Therapy Associates 2017 (Fillable PDF)

Adult history for Beacon Therapy Associates 2017 (Printable Word Doc)

EPayment Agreement (Fillable PDF)

EPayment Agreement (Printable Word Doc)

Minor Form (Fillabl PDF)

Minor Form (Printable Word Doc)

Release of Information (Fillable PDF)

Release of Information (Printable Word Doc)