E-fill & Sign Forms

New Intake Paperwork | Credit Card On-File Consent | Safety Plan | Intern Provider Consent | Verification of Benefits 

HMIS ROI | Kissimmee Outpatient Intake Packet | Kissimmee Spanish ROI | Credit Card On-File Consent | Kissimmee Outpatient Spanish Intake Form | Kissimmee Safety Plan | Kissimmee ROI | VA ROI | BIP Intake Packet | Kissimmee Aftercare Plan-English | Kissimmee Aftercare Plan-Spanish | Intern Provider Consent

Longwood Outpatient Intake Packet | Intern Provider Consent | Safety Plan | Credit Card On-File Consent

New Intake Paperwork | CANS Consent Form | Credit Card Authorization Form | Telehealth Consent Form | Intern Consent | Release of Information | Employee Agreement | MA VOB

New Intake Paperwork | Intern Provider Consent | Credit Card On-File Consent | Safety Plan

St. Cloud Outpatient Intake Packet | BIP Intake Packet | Telehealth Consent Form | Release of Information | PHP Handbook | Intern Provider Consent | Aftercare Plan | Spanish ROI | Credit Card On-File Consent | Vivitrol Consent Form

Application for Admission

Suboxone Consent | Vivitrol Income Verification | Suboxone Income Verification

Consent Form

Privacy Practices Notice

Business Card/Bio Form  | Marketing items Request Form | Webpage Request Form