Patient Forms

Our Patient Forms

To save time during your visit at Families Together, please fill out and bring the below forms to your next appointment. More information about each form can be found below.

Patient Registration & Information

If you are a new patient, please fill out this form, print it out and bring to your appointment.

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Discounted Sliding Fee Scale Form

If you are interested in the sliding fee scale, please fill out this form, print it out and bring to your appointment.

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New Patients Counseling Contract

If you are a new patient with our Behavioral Health department, please fill out the counseling contract bring it in to your first visit.

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Child Health and Disability Prevention

If your child does not have medical insurance, parents may fill out this application prior to their child’s appointment.

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