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Consent Forms & Links

Required Office Consent Forms

Complete these forms if you are a NEW PATIENT:

New Patient Forms

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Please email completed forms to:​

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Individual Forms

Release of Information Form

Phone and Email Consent Form

Controlled Substance Agreement Form

Telehealth Agreement Form

HIPPA Agreement Form​

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Additional Links:​​​​

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Telehealth Appointments | Doxy Links

Do you have a scheduled Telehealth appointment?

Please check in with your provider below:​

Figure out who you are, then do it on purpose.  -Dolly Parton

© 2022 Monarch Mental Health & Wellness, LLC

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