Client Forms

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Patient Portal

All forms are loaded into your patient portal account and ready to be completed electronically.  We ask that you complete all forms prior to your first appointment.  If you are unable to complete the forms prior to the first appointment, you will need to arrive 30 minutes prior to your first appointment to complete the forms in the office.  While forms can be completed through a phone browser, many have reported that it is easier to complete them via the Chrome browser on a computer.

Click Here to Go to the Patient Portal

Note: You must be an established patient to have a portal account.  If you would like to submit information about becoming a patient with Origins, you will need to click the link below.

Click Here to Sign Up as a New Patient

Other Helpful Forms:

  • To allow us to share your information or obtain information from another person, provider, school, or other entity you need to complete this form:   Authorization for Release of Information
  • To request copies of your medical records or your child's medical records for your personal use, you need to complete this form and return it to the office: