Patient Forms

NEW PATIENT FORMS

Intake Form.pdf

INTAKE FORMS

Office Policy.pdf

OFFICE POLICY

Consents and Authorization Forms.pdf

ACKNOWLEDGEMENT

Previous Medications.pdf

MEDICATION HISTORY

Medication Consents

Vivitrol Consent Form.pdf

VIVITROL CONSENT

Suboxone Consent Form.pdf

SUBOXONE CONSENT

HIPPA RELEASE OF INFORMATION

From Dr Shah Authorization-Disclose-Health-Info.pdf

RELEASE FROM DR. SHAH

To Dr Shah Authorization-Disclose-Health-Info.pdf

RELEASE TO DR. SHAH