Intake Forms

Please fill out the following forms prior to your first appointment. If you have any questions, please contact us directly at 301-828-2350 or Customerservice@renovatemental.com

• Authorization to Bill Insurance
• Cancellation Policy
• Consent for Treatment
• Payment Policies
• Privacy Policies
• Request for Medical Records
• Email Consent
• Patient Health History
• Patient Registration
• Controlled Substance Policy