CLIENT FORMS | A Partnership In Health, LLC

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Please complete the required intake and authorization forms below prior to your consultation. These forms help us begin the credentialing and enrollment process efficiently, accurately, and securely.

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Client Forms & Documents

Please download and complete the required forms prior to your consultation appointment.

Client Intake Form

HIPAA Acknowledgement

Practice Agreement Form

Document Submission Checklist

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Client Forms & Documents

Client Document Submission

Please complete the form below and upload any required documents. We'll review your submission and be in touch if we need anything else.