This paperwork needs to be filled out for anyone seeing Megan Caves, Linda Vinchattle, Brittney Hindman, Nicole Holmberg, or Gayle Greco.

If the patient is a minor, a parent/guardian will need to complete the paperwork.

Please do not complete the paperwork until you have an appointment scheduled with a provider.

For client’s seeing Isaiah Fogle, please complete the paperwork below.

If the patient is a minor, a parent/guardian will need to complete the paperwork.