Client Forms

Client Forms

Please click on the following links to download forms. Please note some of the Office Polices and Registration Forms were updated January 2021. Office Policies and HIPAA paperwork can be printed, downloaded and requested in office.

New Child Patients:

New Adult Patients:

Administrative Information:

If you would like Dr. Dungan to provide information to another provider, or would like Dr. Dungan to seek information from another provider, please complete the form below.