Online Forms

Spine & Mind Recovery Center Online Forms

At Spine & Mind Recovery Center, we offer patient forms online so you can complete them in the convenience of your own home or office. Fax or email us your completed forms or bring them with you to your visit.
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  • If you do not already have AdobeReader® installed on your computer, Click Here to download it now.

  • Download the necessary form(s) and fill in the required information.

  • Fax or email us your completed form(s) or bring them with you to your appointment.

PDF File
New Patient Psychiatric Intake Form
PDF File
Credit Card Authorization Form
PDF File
Practice Policies and Consent Form


Submit your completed forms below

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For non-urgent questions or to learn more about our services, contact us today!