Registration Forms

Registration Packets

Registration packets:

  • Copy of Notice of Privacy Practices
  • ICANS FAQ Flyer
  • Medicaid Adult Registration Packet
  • Medicaid Child Registration Packet
  • Adult  Registration packet
  • Child Registration packet

***PLEASE PAY ATTENTION TO FORM YOU FILL OUT***

If you have access to a printer, please bring these forms to the office prior to your appointment. If you are unable to print these documents we can provide them to you. Please arrive to your first appointment 30 mins EARLY to allow time to fill them out prior to your session.