Forms & Information

HTML Format in this column

All Forms open in new window.

Adobe PDF Format in this column

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For Submitting Charges

Patient Payment Consent Form

Client Payment Consent Form

Receipt for Services

Signed Receipt for Services (optional)

Receipt for Refund

Patient Payment Consent Form

Client Payment Consent Form

Receipt for Services

For Membership

Authorization and Agreement Form

Member Agreement

Authorization and Agreement Form

Member Agreement

For Associations

Authorization and Agreement Form

Member Agreement

Authorization and Agreement Form

Member Agreement

Charges by Associations

Card Payment Authorization Requirements

Receipt Requirements

Refund Receipt Format

Card Payment Authorization Requirements