All patients: The following four forms should be printed and completed and brought with you to your first appointment.

 

 

For adult patients: print and fill out the following Family History Form and bring with you to your first appointment:

 

 

For children and adolescent patients: parents should print and fill out the following Child & Adolescent History Form and bring with you to your first appointment.

 

 

The following three forms are for your information and may be viewed / printed for you to keep. You do not need to bring these forms with you to your first appointment.

 

 

The forms on this page are in Portable Document Format (.PDF) You can download the free Adobe Acrobat Reader from the Adobe Site



Comprehensive Counseling is covered by most insurance plans.
For more information, call our clinic at 262-284-5789.