New Patient Forms
![](https://www.google.com/images/icons/product/drive-32.png)
Statement of Members Rights
![](https://www.google.com/images/icons/product/drive-32.png)
HIPPA Detailed Notice of Privacy Practices
![](https://www.google.com/images/icons/product/drive-32.png)
HIPPA Signature Form: Notice of Privacy Practices
![](https://www.google.com/images/icons/product/drive-32.png)
Authorization & Consent for Treatment
![](https://www.google.com/images/icons/product/drive-32.png)
Authorization to Release Health Information to LVLC
![](https://www.google.com/images/icons/product/drive-32.png)
Authorization to Release Health Information from LVLC
![](https://www.google.com/images/icons/product/drive-32.png)
Adult Psychosocial History
![](https://www.google.com/images/icons/product/drive-32.png)
Child Psychosocial History
Please download, type, & upload documents to the following secure email.