REGISTRATION/FORMS for New Clients

REGISTRATION/FORMS FOR NEW CLIENT


Please download and fill out the forms below to help make your first visit to our office go smoother and quicker. Bring these forms completed with your information with you to your first appointment. Our office staff and counselors are compassionate, supportive, and willing to help you make your life balanced and start the healing process. Please call us if you have questions.

Confidential Patient Information Packet, Which includes Privacy Consent, HIPAA, and Credit card Payment Form.

Download the ILC Admission Packet

Clients with an Appointment with AVA Profota:

Confidential Patient Information Packet, Which includes Privacy Consent, HPAA, Credit card Payment Form.

Download the ILC Admission Packet with AVA Profota