For your convenience and to save time at your first appointment, we have provided the forms below for you to sign and/or review before visiting OptimaLife Wellness. Please email completed forms and/or any questions to info@optimallifewellness.com. We look forward to working with you!

Consent Forms

Please complete and sign the following forms prior to your first session. Email the completed forms to info@optimallifewellness.com.

HIPAA & Department of Health Notices

Please download and review both the HIPAA Notice of Privacy Practices and the Department of Health publication.

Release of Information

If you anticipate needing your clinician to communicate with another person and/or you’re a minor between 13–25 years of age and dependent on a parent for scheduling and/or insurance billing, please complete the Release of Information form.