NEW Patients: Please Download and Complete FORMS 1-4
FORM 1 Consent to Receive Treatment
FORM 2 Payment Policy
FORM 3 Consent to Use and Disclosure of Protected Health Information
FORM 4 Authorization To Release Medical Information to PHA
FORM 6 Patient Portal Use Policy
FORM 7 Medical Marijuana Consent Form - to be signed after the evaluation with the doctor.
FORM 8 Authorization To Release Medical Information from PHA