Forms

Forms

New Patient Intake Form. Please download and complete this form before your first visit.

Sample Release Form. This is a SAMPLE Release of Information form to serve as a guide.

Medical Release Form. This form is authorization for the release of protected health information. Please download and fill in the fields. Then print and sign and return to the office.

Adult

Centra offers an array of solutions for adults.

Child/Adolescent

How can you help my child or adolescent?

Family

How can you help our family in our time of need?

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