Additional Client Forms

Additional Client Forms


Please use this form if your therapist or scheduling team member directs you to use it. 

 

Authorization Form to Disclose and Release Information

Release of information form for other professionals involved in treatment to be able to speak with members of our team.

CLICK HERE: https://form.jotform.com/200979028921056

Total Health Concepts Electronic Communications Permission Form

CLICK HERE:  https://hipaa.jotform.com/212640285367053

Total Health Concepts Insurance Information Form

CLICK HERE: https://hipaa.jotform.com/212640419601043