Office Forms
Below are office forms used at our office, other than our intake packets. If you have filled these forms out and need to send them back to our office, you can do so by email: sylvaclinical@yahoo.com , fax: 828-586-5527, or by mail to 70 Westcare Drive, Suite 402, Sylva NC, 28779. If you have any questions or concerns, please call our office at 828-586-5555.
|
| |||||
|
For the release form, please fill out the name of the person or practice with whom we will be releasing/sharing information, as well as the information to be released. Please sign and date the release form either as the client, or an authorized representative.
|
Doctors/ Referral Providers: For the referral form, please fill out our form(or if your practice has one that they use, feel free to use it instead) and fax it to our office. Please include the patient's insurance card, and last office visit note. As much detail as to why the patient is being referred to our office, will be much appreciated.
|