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Documents

Ready to become a patient?

1. Let’s start with a first contact

Reach out to get your healing journey started.

2. Next steps

Fill out the Intake and Consent Forms.

3. Insurance

Submit your insurance card and ID copies.

Authorization for release of Information to Medical Providers

Give permission to Klarisana to share your treatment information with outside professionals.

Authorization for release of Information to Family and Friends

Give permission to Klarisana to share scheduling, treatment and financial information with your family & friends.

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