New Patient Forms

After you've scheduled your initial consultation,  print the following forms, fill them out prior to your visit and bring them to your appointment:

Adults and Young Adults (age 14 and up)

  • Patient Info / Financial Agreement
  • History Form
  • Toxicity Questionnaire
  • Treatment Consent Form
  • P.H.I. Consent From


  • Patient Information / Financial Agreement
  • Child History Form
  • Treatment Consent Form
  • P.H.I. Consent Form 


Our staff will be happy to mail you the above forms upon request.  

Thrive Healing Arts Center L.L.C.