*If you would like us to be able to discuss your care with anyone other than yourself, please fill out this form and designate who we may communicate with*
*If we will be billing an insurance plan, we will need authorization to do so. Please fill out this form so we may proceed with billing.*
*If you would like to transfer records from an outside office to our office, please fill out this request and submit it to their office. Their office will then send us your records in a timely fashion.*