New Patient Paperwork

In order to reserve your initial appointment with Dr. Stokan, a credit card must be left on file. If you fail to show up for your initial appointment or cancel/reschedule less than 2 full business days in advance, you will be charged the full fee for the missed appointment.   Your appointment time is reserved for you.  If you fail to cancel your appointment in advance, we are unable to schedule any other patient during that appointment time.  (Notice: All new evaluations scheduled on a Monday will have their credit card charged for the full appointment fee the Thursday prior to their appointment.)

If you have an appointment scheduled with Dr. Stokan, please print, complete, and bring with you to your first appointment:

DS New Patient Adult Paperwork

DS New Patient Child Paperwork

 

If you have an appointment scheduled with one of our therapist, please print, complete, and bring with you to your first appointment.

Couples Intake Form (2)

Karen Jaggers – Therapist Adult

Karen Jaggers – Therapist Child

Karen Jaggers – Therapist Adolescent

Galpin-Pellerin – Therapist Child

Galpin-Pellerin – Therapist Adult

Galpin-Pellerin – Therapist Adolescent

Quique Autrey – Therapist Adult

Quique Autrey – Therapist Adolescent

Quique Autrey – Therapist Child

Dr. Merriman New Patient Paperwork

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