Patient Forms – All forms [except the Insurance Coverage Worksheet] are fillable PDF’s – We recommend you complete them with Adobe Acrobat so you can sign them, and you must SAVE THEM to your computer, and email them back to your provider.

• Patient Registration Form*
• Office Policies & Procedures Forms*
• Billing & Payment Information*
• Child & Family Information Form*
• BDTX Teacher Narrative Form
• BDTX Release of Information Form
• Adult or College Information Form [only needed if patient is an adult]
• Insurance Coverage Worksheet