Treatment Contract Policies and Procedures
This form reviews office policies and procedures and is signed as part of working with Dr. Fink. This form is not for online submission. It will be reviewed with Dr. Fink in the office. You can print a copy for your records.
Release of Information Form
You must sign a release of information form if there is anyone that you would like me to communicate with about you or your child’s care. The release of information form is print only – it cannot be submitted online. Please open the following link and print as many copies as you need, fill them out and sign them. They can then be submitted via US mail, fax, email or in person at your appointment.
Appointments and Prescriptions
You may request an appointment or a prescription refill online or by printing and faxing us your request.
Forms to be Filled Out Before First Appointment
The following forms are meant to streamline the process at the first appointment. They are available in both online and printable versions. Please click the link for the desired form.
Payment Authorization Form
For your convenience you may fill out this form to keep a payment method on file. This is not an online form – you may print it out and fill in the information and submit it via US Mail, fax, email, or in person at the office.