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ABOUT
Meet Our Team
Our Purpose
Core Values
SERVICES
Brief Counseling and Assessment
Primary Medical Care
Psychiatry and Behavioral Health
Ambulatory Withdrawal Management
Medication Assisted Treatment
Telehealth Services
TMS Therapy
LOCATIONS
Central Austin
South Congress
Dripping Springs
Pompano Beach
IN THE PRESS
CONTACT
BLOG
PATIENT PORTAL
New Patient Forms
New Patient Forms
Emily Galusha
2021-01-28T17:10:51+00:00
1 | Patient Demographics Intake and Annual Update
2 | Office Policies, Consent to Treatment & Financial Responsibility Agreement
3 | Financial and Medication Policies
4 | Credit Card on File Billing Authorization Form
5 | Patient Medical History
6 | HIPAA Notice of Medical Records Privacy Practices
7 | Consent to Release Information
8 | Controlled Substance Policy Patient Attestation
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