Resources
Complete Forms Online
New Patient Forms
Patient Intake Form
This paperwork asks about your symptoms that you will be seen for during your appointment.
Consent to Treat
This consent to treat must be signed prior to receiving care at the clinic.
Privacy Policy
This notice applies to the medical records maintained by this office and it specifically details how your medical information may be used and disclosed to third parties. This notice also details your individual rights regarding your medical records.
Release of Information Forms
Sending Records OUT of Integracare
To be completed when requesting Integracare send the information to another medical facility.
Sending Records INTO Integracare
To be completed when sending information to Integracare from another medical facility.
Medication Contracts
Controlled Substances Agreement
Complete this form if an Integracare provider or staff member has instructed you to complete it electronically.
