Forms & Information

HTML Format in this column
All Forms will open in new window.
Adobe PDF Format in this column
Better quality requires Acrobat Reader

For Submitting Charges

Patient Payment Consent Form

Client Payment Consent Form

Receipt for Services

Signed Receipt for Services optional

Receipt for Refund

Patient Payment Consent Form

Client Payment Consent Form

Receipt for Services


For Membership

Adobe PDF Format in this column
Authorization and Agreement Form

Member Agreement

User's Guide

Authorization and Agreement Form

Member Agreement

User's Guide


For Associations

Adobe PDF Format in this column
Authorization and Agreement Form

Member Agreement

User's Guide

Authorization and Agreement Form

Member Agreement

User's Guide


Charges by Associations

Card Payment Authorization
Requirements

Receipt Requirements

Refund Receipt Format

Card Payment Authorization
Requirements

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