Important Forms

New Clients

For all new client's, please complete this form and bring it with you to your first appointment. 

Registration Form
Authorization for Release of Information
If you would like to authorize us to coordinate care with another provider (such as a primary care doctor, or a psychiatrist), please complete this form and bring this to your first appointment. 


Other important forms: 

The following forms we will go over together and sign at that time. If you would like to review these forms prior to our first visit, they are below. 

Informed Consent


Client Bill of Rights



"Illness becomes wellness when I becomes We"
Healing Intergenerational Roots for All Nations-One Tribe 

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HIR Wellness Institute is a federally recognized 501(c)(3) nonprofit organization. Donations made are tax-deductible to the extent allowed by the law. Through the generosity of our donors, we are able to sustain our services and enhance our program offerings. We thank you for your continued support! 

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