Forms


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Intake Forms

[/ux_text] [divider width=”60px”] [/col] [/row] [row] [col span=”4″ span__sm=”12″] [button text=”payment agreement” style=”outline” size=”medium” radius=”99″ depth=”2″ link=”https://flexabilityllc.com/payment-agreement/” target=”_blank”] [/col] [col span=”4″ span__sm=”12″] [button text=”Patient Information” style=”outline” size=”medium” radius=”99″ depth=”2″ link=”https://flexabilityllc.com/contact-information/” target=”_blank”] [/col] [col span=”4″ span__sm=”12″] [button text=”Authorization FORM” style=”outline” radius=”99″ depth=”3″ link=”https://flexabilityllc.com/authorization-to-treat/”] [/col] [/row] [ux_text font_size=”1″ line_height=”1.25″ text_align=”center”]

These links will redirect you to my google forms. 

Please fill out and submit have them sent to me directly,  or feel free to print to work on paper. 

Any questions, reach out via contact me link!

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