Heron Ridge Assocs, PLC
Forms

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The following forms are available for your convenience.

Client Registration Form

Adult Personal History Form

Child-Adolescent Personal History Form

Treatment Contract and Privacy Notice

Information Release Authorization Form

Protected Health Information Release Form

Medication Management Policy

Patient Medication Tracking Log


Please note: The forms are in Portable Document Format (pdf) and require a pdf reader.  If your computer does not have a pdf reader, you may download one for free here. The download is set to automatically include the Free Google Toolbar, which is optional and is NOT required to view and/or print Heron Ridge Assocs forms.  If you do not want to include the Google toolbar in your download, be sure to clear the check box called "Include in your download".