office (205) 403-0955
fax (205) 403-0956
2 Riverchase Office Plaza, Suite 115, Birmingham, AL 35244-2810

Forms

The Following forms are made available to you to help speed the intake process for new patients.  These forms are in PDF format and may be viewed and printed from Adobe Reader.  If you do not have this viewer it is available from the Adobe website.

Prior to your first appointment, please download and print the appropriate Intake Packet below.

If you need information to be released to a third party, the Release of Information Form is available below.

 

Please note our Cancellation Policy

All cancellations must be made 24 hours prior to your scheduled appointment.  Failure to give 24 hour notice or not showing up for your appointment will result in a $70 fee.  If you call and do not reach someone (such as nights and weekends) please leave a voicemail so that we have a record of your call.