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Enspire – New Patient Registration Form
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Adolescent Consent Form
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Adult/Individual Therapy Form
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Home
Locations
Baxley
Hazlehurst
Patient Forms
Patient Information
New Patient – Enspire
Enspire – New Patient Registration Form
Enspire – Authorization to Release Protected Health Information
Enspire – Consent to Treat Minor Patient-Without Parent/Legal Guardian Present
Therapy
Adolescent Consent Form
Couples Therapy
Adult/Individual Therapy Form
Records Request
ESE Records Request
Historia Medica
HIPPA Notice
Zoom Instructions
WELLNESS CENTER + WALK-IN CLINICS
Home
Locations
Baxley
Hazlehurst
Patient Forms
Patient Information
New Patient – Enspire
Enspire – New Patient Registration Form
Enspire – Authorization to Release Protected Health Information
Enspire – Consent to Treat Minor Patient-Without Parent/Legal Guardian Present
Therapy
Adolescent Consent Form
Couples Therapy
Adult/Individual Therapy Form
Records Request
ESE Records Request
Historia Medica
HIPPA Notice
Zoom Instructions
