Welcome to FBTA! We are happy you're here.
Client Intake Forms
Please call one of our convenient office locations to set up an appointment before filling out paperwork. If you have an active email address, intake paperwork can be filled out electronically through our secure online system. Please contact an Office Manager for more information.
If you are unable to complete the intake forms ahead of time, please arrive 15-20 minutes early. Forms will be available to you when you arrive at the clinic. If you are coming in as a couple, note that each of you are to fill out your own set of forms.
If you prefer to print paperwork and complete it before your appointment, click on a form title to open a Microsoft Word document of that form. You may complete the form by word processing or by handwriting in the requested information. Please bring these to your first session.
Please note: All forms are in Microsoft Word 97-2003 format. If you do not have access to Microsoft Word, you can download a free version of Open Office by clicking HERE.
Please bring the Intake Paperwork, Consent for Treatment, and Release for Primary Care Physician forms to your first appointment.
Click here for our insurance and fee information