FORM INDEX PAGE

click on the pdf icon and make sure to have signed either a). printed copy or b).digital signature

new client demographic

consent for treatment

hippa 

Health Insurance Portability and Accountability Act (HIPAA) Privacy Notice.

confidentially & cancellation  

​

release of information form

optional

betsy gamlilin 

assessment form

optional

DR. JUZWIN'S 

INITIAL CONSULTAITON form