Patient Intake Forms
Please carefully read and complete each of the following FOCUS new patient forms.
Note that submission of these forms is only for patients who have been in contact with our office staff at FOCUS. To send a general inquiry, please e-mail as at firstname.lastname@example.org.
The Patient Intake Form and Patient Case History Form can be submitted online. The Consent for Treatment Form, however, must be printed, signed/initialed and physically handed into our office staff.
If you have any questions, please Contact Us.