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New Patient Forms

Click on the appropriate age form to download

Children form for patient ages between 5 to 11 years old

Child Playing
Children

Adolescent form for patient ages between 12 to 17 years old

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Adult form for patient ages 18 and older

Coffee and Cookie Break

180 N. University Ave., Suite 270, Provo, UT 84601

Call/Text: 801-471-0778              Fax: 801-797-0123

© 2024 by Brighter Minds Health.

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