New Client Forms
To help reduce time at your intake appointment, please print, complete and bring the following forms with you for your appointment
- Authorization to Release Information
- IMPOWER Comprehensive Consent Form
- PCP Form
- No Show/Cancellation Agreement Form
To download a copy of IMPOWER Client Manual, please click here.
For more information or questions related to these forms, please contact our Centralized Referrals and Scheduling Unit at (321) 639-1224; option 2 or email firstname.lastname@example.org.