Forms
Print out or complete the online forms…
To Download & Print:
Intake Form
Authorization
Confidentiality
Insurance
Please complete these forms and mail to:
Deborah Lyman
Suite #1684, Seatowne Courtyard
1684 N. Coast Hwy.
Newport OR 97365
Be sure to include a copy of the front and back of your insurance card(s).
To Complete Online:
Intake Form
Authorization
Confidentiality
Insurance