Preparation for Seeing Dave

 In preparation for our first visit, please read and complete the various forms downloadable from this page. By getting the paperwork out of the way we can make the most of our time when we meet. If you do run into any questions that you are not sure about, just highlight them and we can talk about about them when we meet. I look forward to seeing you soon.

Client Intake Form

Patient Acknowledgement Regarding Privacy Practices

Privacy Policy

Consent to use Telemedicine

Release of Information to CFHC

Release of Information from CFHC to Program/Individual

Medicare Opt-Out Form

Telemedicine Information Sheet

Release of Information Blank Form

Credit Card Authorization Form

Digital & Electronic Communication Policy

Referral Policy & Disclosure