Info
Forms
Please complete the appropriate forms prior to your first appointment.
Before Your First Appointment
To make the most of your first session, please download, print, and complete the intake forms below and bring them with you to your appointment. If you have any questions about the forms, feel free to contact Dr. López prior to your visit.
Notice of Privacy Practices
This notice describes how medical and mental health information about you may be used and disclosed, and how you can get access to this information. Please review it carefully.
Download or view the full Notice of Privacy Practices below.
Download PDFConsent to Privacy Practices
By signing this form, you acknowledge that you have received and reviewed the Notice of Privacy Practices.
Download or view the Consent to Privacy Practices below.
Download PDF
Need Assistance?
If you have questions about which forms to complete or need forms sent to you directly, please reach out.
Contact Dr. López