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    • Home
    • Services
    • About
    • Contact Us
    • New Patients
    • Insurance and Rates
    • Client Login
  • Home
  • Services
  • About
  • Contact Us
  • New Patients
  • Insurance and Rates
  • Client Login
Santa Maria Health

Revolutionize Your Health Today

Revolutionize Your Health TodayRevolutionize Your Health TodayRevolutionize Your Health Today

New Patients Forms

New-Patient-Form (pdf)Download
HIPPA-Form-Rev.-08.22 (pdf)Download
Confidential-Terms (pdf)Download
Treatment-Consent (pdf)Download
Professional-Fees-08-22 (pdf)Download
Prescribed-Controlled-Substances-Agreement-SMH (pdf)Download
Intake-Screenings (pdf)Download
Authorization-for-Credit-Debit-Card-Payment (pdf)Download
Informed-Consent-for-Telehealth (pdf)Download

Formas en Español

Hoja-de-Registro (pdf)Download
Practicas-de-Privacidad.pdf (pdf)Download
Honorarios-Profesionales-SMH (pdf)Download
Terminos-Confidenciales-SMH (pdf)Download

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