New Patient Forms

    • You can download the following form and enter your information on your computer and then print the completed form, alternatively you can simply print the form and hand write your information.
    • Click here to download the form: West Coast ID New Patient Form.
    • Try to be at our offices 15 minutes prior to your appointment if you have not filled out the forms yet.
    • This document also explains our Privacy Policies and Practices.
    • Consent for Telehealth Services and Treatment Form.

Records Release Forms

If you have any questions in regards to billing you can call us at (727) 669-6800. You may also review our refund and privacy policy. Any over payments made will promptly be refunded.

Click below to pay your bill online. After successful payment you will be returned to this page and an email confirming your payment will be sent. If you have any questions regarding your online payment contact us at (727) 669-6800.