Patient Intake Forms
Please carefully read and complete each of the FOCUS Therapy new patient forms that have been requested of you.
- Patient Intake Form
- Patient Case History Form
- Consent for Treatment Form
- Insurance Card Upload
- ADOS Testing Deposit Form
Note that submission of these forms is only for patients who have already been in contact with our office staff at FOCUS. To send a general inquiry, please e-mail us at firstname.lastname@example.org.
The Patient Intake Form, Patient Case History Form, Insurance Card Upload and ADOS Testing Deposit 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.