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Home
Insurance
Services
Forms
Contact
35 South County Commons Way, Suite D-10
South Kingstown, RI 02879
fax: (401) 429-6142
The following forms are available for customers to read/fill out prior to their first visit.
Adult Clinical Information and History
Child/Adolescent History Form
Notice of Privacy Practices
Patient Insurance Information
Consent for Treatment
Release Form
Electronic Communication Consent and Release Form
Credit Card Authorization Form