Forms for

Your First Therapy Appointment 



Prior to your first office visit, download the all the forms and documents on this page. Complete them to the best of your ability, date and sign. Please thoroughly read the Policies and Practices notice. Bring everything with you to your first appointment. We will discuss all forms at that time.



NOTE:  When you click on these documents, they will directly download to your computer.  Depending on your computer settings, you may be prompted to select where to save them.  If not, look in your Download folder or file to find them.  The documents will open as Word files, and can be renamed on your computer for easier retrieval.






Patient Services Agreement​



Patient Registration ​​



Health History Questionnaire​​



For Parents​​​​



HIPAA Policies and Dr Blackburn's Practices


Make an Apointment

T: 617 . 686 . 2420


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