AZ0T1635Before your first appointment with Dr. Hegnauer, it’s important to print and complete a few forms. Please bring the completed forms with you to your appointment. Thank you!

Concord Location

Prior to your first visit at Dr. Hegnauer’s office in Concord, New Hampshire, please print and complete the following paperwork.

 

Pediatrics Intake Form (if appropriate)

Adult Intake Form

Records Release

Consent for Treatment

Notices of Privacy Practices

Patient Information

How do I check my insurance benefits?

 

Sign-e1421097779588North Sutton Location, at the Cougar Sound Spirits Healing Center

To learn more about Cougar Sound Spirits Healing Center in North Sutton, New Hampshire, visit the center’s website. Prior to your first visit at the Cougar Sound Spirits Healing Center, please print and complete the following paperwork.

CSSHC Intake Form

CSSHC Patient Information

CSHSC Privacy Practices

How do I check my insurance benefits?