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If you're a first-time client, please review and complete the following forms. Please scan or fax 24 hours prior to your scheduled intake. Fax 888.910.0622.

Use this form is you wish to authorize a release of information or coordinate information with another medical or legal entity, such as a medical doctor, medical laboratory, psychiatrist, endochrinologist, or attorney. This release is specific to persons, agencies, medical entities,  and to obtain test results (of any kind) and attorneys.  Please fill one out for each entity you wish to release information to or from.




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