Registration and Consent Form

New Patient Registration & Consent at Family Nurture

If you are a new patient, you will need to complete our new patient registration and consent form before your appointment.


Click here to download form (PDF) →

Record Release Request Form

If you would like to request that your records be sent to another practitioner, please complete our Record Release Request Form. Requests that do not meet our requirements may not be accepted. Our medical record release policy complies with national regulations, and all requests will be processed accordingly.

Click here to download form (PDF) →

Contact Us

Our clinic is dedicated to nurturing our clients’ mental health and well-being. We look forward to welcoming you to Family Nurture, where comfort and care come together to support your mental health journey.