Intake Paperwork

If this is your first appointment at IMHC or if it has been awhile since your last visit, then you will need to fill out a new client packet. If unsure, please call the front desk and ask them if you need to fill out a new client packet again, and they can check when your last visit was and make sure you are not missing anything.

Please fill out any necessary paperwork before you come in for your appointment to save time. Please make sure you bring identification and also your insurance card and/or 4506-T form if applicable.

[trx_button icon=”icon-doc-text” color=”#8c3509″ bg_color=”#cccfbd” align=”center” link=”https://www.iroquoismhc.com/wp-content/uploads/consents.pdf” popup=”yes” width=”200px” top=”small”]Consents Document (PDF)[/trx_button]
[trx_button icon=”icon-doc-text” color=”#8c3509″ bg_color=”#cccfbd” align=”center” link=”https://www.iroquoismhc.com/wp-content/uploads/CONSUMER_RIGHTS.pdf” width=”200px” top=”small”]Consumer Rights (PDF)[/trx_button]
[trx_button icon=”icon-doc-text” color=”#8c3509″ bg_color=”#cccfbd” align=”center” link=”https://www.iroquoismhc.com/wp-content/uploads/Client_Orientation_Checklist.pdf” width=”200″ top=”small”]Client Orientation Checklist (PDF)[/trx_button]