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New Patient Forms

We don't require a doctor's referral. If you are ready to begin the intake process, please complete the Patient Intake Form below.

You'll be asked for your name and e-mail when you click on the link. You will then be sent a password so you can fill in the form and submit it. We will receive the form immediately and securely.

If you've been approved for treatment, please fill in the consent form below.

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