Please download and fill out the necessary forms and bring them with you to your visit. If you are seeing Marilyn Lucas or Judy Pickett and are filing with insurance, please select Registration Form -- Insurance Pay. We will also need a copy of your Driver's License and Insurance Card. If you are not filing with insurance, please use Registration Form -- Self Pay/Non Insurance. You will also need to fill out the appropriate Youth or Adult History Questionnaire.
Please also read and sign the Rights and Responsibilities form and bring with you.
|Registration Form --Self-Pay/Non Insurance|| Registration Form --Insurance Pay
|Adult History Questionnaire||Youth History Questionnaire|
For Doug Colgrove -- Please use this form:
EAP and Intake Form