The forms below are in PDF format. If you do not already have a PDF reader, you can go here and download one for free. You will need to download the files to read them, once downloaded, you may print them off.

Forms for Dr. Martha Durham

pdficon   Release of Information – click here to download

pdficon   Important Information about our Practice – click here to download

pdficon   Credit Card Authorization Form – click here to download

pdficon   Client Information – click here to download

pdficon   Child Intake Form – click here to download

pdficon   Adult Intake Form – click here to download

pdficon   HIPAA Privacy Policy (Read Only) – click here to download

pdficon   HIPAA Acknowledgement and Consent Form – click here to download