The records office has securely received your authorization. We are now processing your intake.
The clinic will contact you shortly at the phone number or email address you provided to coordinate the next steps.
Click the option that applies to you to open your secure DocuSeal forms.
Before filling out the intake forms, please review our medical records requirements. You must provide these records to schedule your appointment.
Deliver printed copies directly to our office reception at our address during business hours.
Mail printed copies to our office address. These must arrive prior to scheduling your initial appointment.
Providing complete medical records allows our clinical providers to review your history and DOL determinations before recommending a treatment plan. Incomplete records will delay your clinical evaluation or require additional appointments.
Your signed form has been returned securely through DocuSeal. The records office can now continue the intake process.
