The following forms and corresponding instructions have been provided for your convenience.
Please call or email us if you have trouble accessing or completing any form. We are happy to answer any questions you may have.
If you are a new client, please complete these forms prior to your first appointment.
- Medical Record Release Request [PDF]
- Informed Consent Selah 6.16 [PDF]
- Individual Health Information Sheet Selah 6.16 [PDF]
In most cases, it may be valuable for us to review your prior medical records in assessing your current state of health. The Medical Record Release Request form provides your authorization for our office to request medical records from your present and former healthcare providers.