Other Forms
Other Forms:
| Adobe PDF | Microsoft Word Document |
| Release of Information - Adult | Release of Information - Adult |
| Release of Information - Minor | Release of Information - Minor |
Instructions:
- Click on a form to download. If needed, you may download Adobe Reader to read the pdf. You must have Microsoft word, or an equivalent to read and edit the word documents.
- Bring completed forms to an appointment.
- If you prefer to submit the form electronically, email me and I will reply with a form that permits you to do so privately and securely.