All New Clients Forms
If filling out forms digitally, you will need Adobe Acrobat Reader to properly sign documents. Otherwise, we encourage clients to print off and fill out documentation before their appointment. Forms are also available at locations and can be filled out in lobby.
Once forms are completed, please email them to firstname.lastname@example.org with the subject line being the name of the provider requesting the information.
- Somali Notice of Privacy Practices – Ogaysiiska Habraaca Xafidida Xogta
- Spanish Notice of Privacy Rights – Aviso de Prácticas de Privacidad