downloadable Forms
Adult Patient Forms
HIPAA Notice – Notice of Privacy Practices
Medical History Form (English)
Medical History Form (Spanish)
Consent For Treatment Form (English)
Consent For Treatment Form (Spanish)
Walk-In Evaluation Form (English)
Walk-In Evaluation Form (Spanish)
Employment Application Packet
Background Consent Form
Background Investigation Disclosure
Fair Credit Reporting Act Summary
Remedying the Effects of Identity Theft
Application for Employment
Insurances Accepted
We accept most PPO/EPO/Work Comp insurance plans. If you have any questions about our accepted insurance plans, please contact our intake department at (661) 617-1182 or click the button below.
Referral Scripts
If you need TERRIO referral scripts for adult or pediatric therapy you can print them individually here or let us know and we can deliver a pad to you.