For your convenience, we have made a number of forms available for new clients to download or to submit online. Filling these out in advance of your first visit will minimize the time you spend in the waiting room.

 

Office Policies

• Revised Policies 2017-2018 available upon request

Office Use Only:

• Verification Form 

To Print (only do so if the office request it)

• Client Intake Form 

• Client Ins. Policy

• Life History Questionnaire 

• Informed Consent

Self-Paying Clients:

• Fee for Service Form 

 

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Please feel free to call them Proclaim Medical office Billing: 888-559-1119.