New Patient Paperwork

New Patient Paperwork

Please fill out our intake form and send it back to us. The completed form must be received 24 hours before your appointment in order to be confirmed.

  1. Download the form here:  New Patient Paperwork
  2. Open using Adobe Acrobat Reader. You can download the application here: https://acrobat.adobe.com/us/en/acrobat/pdf-reader.html
  3. Fill out the form and click save. You can also print a copy for your records. If you are having problems adding your digital signature, please use the instructions below.
  4. Send the form via email attachment to this address: info@southbaycounselinglcsw.com

Digital Signature

When you need to add your digital signature to the signature field on the form for the first time, use the following instructions:
 
  1. Click “Configure Digital ID
”
  2. Click “Create a new Digital ID”
  3. Save to File
  4. Fill out information and click “Continue”
  5. Select place to save digital signature and add password
  6. Select signature. Insert password. Click “Sign.”
  7. Save document. You can now use this digital signature for the rest of the signature fields.