Forms

Cancellation notice (pdf)

Cancellation notice (docx)

Release of Info H.A.L.O. (2) (pdf)

Release of Info H.A.L.O. (2) (docx)

Informed Consent (pdf)

Informed Consent (docx)

Health Questionnaire H.A.L.O. (pdf)

Health Questionnaire H.A.L.O. (docx)

HALO TELEHEALTH (pdf)

HALO TELEHEALTH (docx)

HALO 20 HIPPA acknowledgement (pdf)

HALO 20 HIPPA acknowledgement (docx)

HALO - ALL FORMS (pdf)

HALO - ALL FORMS (docx)

HALO Professional Referral (docx) (docx)