FORMS

Download & print or fill out online

• Client Forms to fill out online

  • Intake Questionnaire

  • New client paperwork

  • Check Your Insurance Benefits

  • Release of information

  • Telemedicine consent form

  • Telemedicine & Group Guidelines

  • Client satisfaction survey

  • Private Pay Agreement

• Job Applications & Mailing Lists​

  • ​Join La Luna's mailing list

  • Apply for a clinical job

  • Apply for an administrative job

• Pay Your Bill Online​

• Forms to download and print out

  • Medical Clearance