Forms

 

Please find below links to important documents and forms used at DWC.

 

All new patients will need to fill out the New Patient Registration form as well as a History Form. Anyone under the age of 18 will need to fill out the Child and Adolescent History form rather than the Adult History.

 

Please Note: Dr. Skinner and Jackie Rosenberger have separate paperwork which can be filled out upon arrival for your appointment. For clients seeing these clinicians, please do not use the forms below.

 

If you have any questions regarding which forms you may need, please feel free to contact us.

 

New Client Registration and Consent to Services
New Client Registration.pdf
Adobe Acrobat document [240.6 KB]
Adult Patient History
Adult History Form.pdf
Adobe Acrobat document [145.3 KB]
Child and Adolescent Patient History
Child and Adolescent History Form.pdf
Adobe Acrobat document [169.3 KB]
Authorization to Release Records/Records Request Form
Authorization_to_Release_Records.6213270[...]
Adobe Acrobat document [91.7 KB]
Privacy Notice
Privacy_Notice.62132748.pdf
Adobe Acrobat document [102.0 KB]

 

Link To Therasoft

 

Please complete each form and bring them with you to your initial session. Please follow the link to our Privacy Notice and review this document. If you have any questions, please feel free to contact us.

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