NOTE TO PATIENTS: Our offices are closing as of March 23, 2020 to June 1, 2020 due to COVID-19. If you are seeking release of records or other documents, please inquire with your provider directly.
Note: To view these documents, you must have Adobe Acrobat Reader installed on your computer. If you don't already have it, you may download it for free.
Authorization to Release Information Form and Instructions
Child Custody Contract for Joint Custody Form
Download English Version *Both parents must sign all three pages*
- OR - complete the Custody Contract online here
Notice of Privacy Practices
Note: some forms are not available online and will need to be signed in office