For your safety and convenience

We are providing the following HIPAA Compliant online forms. Please access and complete the necessary intake forms by clicking on the link for each section.  

Download and review

Information Packet

Click to download PDF

Complete the online forms

Demographics

CLICK HERE

Substance Use History

CLICK HERE

Infectious Disease Risk Assessment

CLICK HERE

HIPAA Consent Form

CLICK HERE

Consent for Treatment

CLICK HERE