CLIENT forms

Secure forms to help you prepare for care and stay connected with Sacred Rose.

Please complete the appropriate form below before your appointment or as requested by your provider.

Intake Packet Release of Information Form Sliding Scale Application

Intake Packet

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This form helps us understand your history, concerns, and goals so we can create a thoughtful and personalized care plan.

Release of Information

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Use this form to authorize the secure sharing of information with other providers or care partners involved in your treatment.

Sliding Scale Application

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This application allows clients to request consideration for reduced self-pay rates based on financial need.