Patient Forms

Below you can find several of our forms you can fill out and bring in to their your appointment. These can be printed off and filled out, then you can either fax, email, mail, or physically bring them to the clinic.

• Client Agreement
• Client Intake Form
• HIPAA Form
• Housing Application
• Income Eligibility
• New Client History
• Partner Notification Form
• Release of Information
• Statement of Support
• Vision Application