Forms

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Prior to your first appointment, please fill out either the Adult or Child New Patient Form. The Release of Information Form is optional and should be completed if you would like Dr. Vigil to release information or obtain information from an individual or institution.


Adult - New Patient Form

If you are 18 or older, please print, complete and bring this form to your first appointment.

Download adult New patient form

 

Child - New Patient Form

If you are a parent seeking treatment or testing for your minor child, please print, complete and bring this form to your child's first appointment.

DOWNLOAD CHILD NEW PATIENT FORM


Release of Information Form

Please complete this optional form if you would like Dr. Vigil to coordinate your treatment with another provider, such as your primary care physician or psychiatrist. Fill out a separate form for each individual you wish to authorize.

Download Release of Information Form

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