Patient Forms


Please download, print and complete the forms below and bring to your first appointment at Triangle CRC.

Please note: We are not in network with any insurance companies. For more information on pricing, please visit our fee schedules page.

Adult Intake (11+ YRS OLD)
Newborn-Toddler Intake (0-2 YRS OLD)
Pediatric Intake (3-10 YRS OLD)
Acupuncture Intake
ABN-For All Medicare Patients
HIPAA Notice of Privacy Practices