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New Patient Forms
Please fill out the below New Patient Forms prior to your first visit. You may submit paper copies of your forms to your provider at your first visit or send electronic copies via email to
admin@thrivetherapyassociates.com
or fax to 614-372-8331.
Privacy Notice.pdf
Financial Resp/Attendance.pdf
Patient Face Sheet.pdf
Insurance Info Form.pdf
HIPAA Waiver.pdf
Privacy Notice Ack.pdf
Conditions of Tx.pdf
Developmental Questionnaire.pdf
Auth of Disclosure.pdf