Forms

Thalia Medical Center Forms


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New Client Intake (complete set of forms)


Individual Forms:

Phone Information

Credit Card Authorization

Treatment Consent

Authorization to Disclose Protected Health Information

Policies and Procedures


Location

Hours of Operation

Monday:

9:00 am-3:00 pm

Tuesday:

9:00 am-3:00 pm

Wednesday:

9:00 am-3:00 pm

Thursday:

9:00 am-3:00 pm

Friday:

9:00 am-3:00 pm

Saturday:

Closed

Sunday:

Limited availability