Our new patient forms, including the Adult Intake Form and Child Intake Form are now fillable PDFs. This means you can fill them out on your computer, save the file and then email them to us at info@journeyofhealth.org. You can also print it out, fill it out by hand and return it to us via scan/email, fax, mail or in person.
Do not use the Submit button on the form. This can only be filled out in Adobe. Do not use Apple Preview as they are not compatible with Adobe forms. If the fillable forms function does not work for you, you may also simply print out the forms and fill them out by hand.
Please email as an attachment, scan, fax, mail or bring them in person.
You will need Adobe Acrobat Reader to read and fill out the forms. Acrobat reader is free and can be downloaded to your computer here.
- Patient Welcome Letter
- Adult Intake Form (Fillable PDF)
- Child Intake Form (Fillable PDF)
- Record Request
- Notice of Privacy Practices
- Arbitration Agreement
Having trouble with our new patient forms? Contact us.
