New Patient Registration

Welcome New Patients!

Save time before your first visit, by filling out paperwork at home. When you have completed them, please print, sign, and bring them to your appointment at HopeCentral. Please call us if you have any questions about these forms. We look forward to serving you!

  • Registration Form

    All new patients must fill out this form. The registration form requires all patients to agree to the HopeCentral patient agreement.

    Download Form

  • Patient Medical History

    All new patients must fill out this form.

    Download Form

  • Release of Information (ROI)

    Please complete this form if you have medical records from other offices that should be released to HopeCentral.

    Download Form

  • Authorization for Psychological Services

    Please complete the following forms if you will be receiving an Autism Spectrum Diagnostic Evaluation or Executive Function Evaluation.

    Download Form