Forms

Make it quick! – Filling out these 3 simple forms will make your first therapy session a SNAP!

Please print, complete and bring these forms to your first appointment:

Choose One

Release of Information Form

Forms for Medication appointments

  • Dr. Sesta
  • Dr. Underhill
  • Busy Schedule? Email or Fax your completed forms in advance and we process your insurance and paperwork prior to your first visit!