Recovery Medical

Forms

patient forms

Please complete the appropriate form(s) and send to

lynn@recoverymedical.org

 

New Maintenance Patient Forms

For all new Addiction/Recovery Patients.

new General psych patient forms

For all new General Psych Patients.

Informed Telemed consent form

medicare opt-out agreement

HIPAA Privacy Notice

Read our HIPAA Privacy Notice above.

hipaa CONSENT FORM