Submit Forms

PLEASE NOTE:  After completing the form, please print and sign the treatment agreement and past medical record request forms. We will not be able to receive your medical records without your signature. (You can save it as a “pdf” file while printing if are you able to use digital signatures)For your convenience below are the links to those forms.

 

HIPAA Compliant Form Comodo Secure Seal




About Us

We have adopted a unique and specialized approach based on the Biopsychosocial Model for effective diagnosis and treatment.