Client Registration Forms

If interested in services, complete information, print and sign forms, and bring with you to Andrews Center

Andrews Center HandbookNot necessary to print out handbook.  For your reference only2023/04/25Download
Andrews Center Handbook (Spanish)2023/04/25Download
Andrews Center Registration Form2022/10/10Download
Authorization for Release Obtaining Information2023/11/13Download
Consent For Minors Information sheet2022/11/21Download
Consent for Services2022/10/10Download
Consent to treatment by minor2022/11/21Download
Family Physician Release2022/10/10Download
Insurance Benefits Assignment2022/10/10Download
Proof of Income Residency Combined2022/10/10Download
Receipt of Privacy Practices2022/10/10Download