CLINIC FORMS

Clinic Forms

Your initial forms will arrive by email. Your provider will inform you if any of these forms need to be filled out. Please be sure to complete the forms below ahead of your first visit. 

Expanse New Client Intake Packet

Expanse Release of Information Form

Expanse Client Initial Contact Form

Expanse Privacy Practices Form

Expanse Treatment Rights and Consent Form

Expanse Good Faith Estimate and Financial Policy Form

Expanse New Client Assessment Form

Expanse PHQ-9 Depression Screen