office (205) 403-0955
fax (205) 403-0956
2 Riverchase Office Plaza, Suite 115, Birmingham, AL 35244-2810

Forms

The Following forms are made available to you to help speed the intake process for new patients.  These forms are in PDF format and may be viewed and printed from Adobe Reader.  If you do not have this viewer it is available from the Adobe website.

Prior to your first appointment, please read and sign the Patient-Therapist Agreement, fill out the appropriate Intake form, and sign a copy of the HIPAA Notice.  If you are planning to use insurance, please contact your insurance company to obtain the information listed under Insurance Questions.

The individual forms are available below.