Tides Of Life
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RESOURCES

This page contains links to forms that you may want to view or use.

Beach Scene

Everyone must complete the following forms, either the online version, (the BLUE ones) and submit it or download the PDF version, (the ORANGE ones) and bring it to the office.

  • Consent For Services
  • Client Information Form
  • Release Of Information Form

During the COVID-19 outbreak, we will be providing all services remotely, therefore you must complete all the blue forms including this extra "Telemedicine" Informed Consent form.
Informed Consent Form (Online)

Consent For Services Form (PDF)
Consent For Services Form (Online)
New patients need to complete this form before their first visit.

Client Information Form (PDF)
Client Information Form (Online)
New patients need to complete this form and bring it to their first visit.

Release Of Information Form (PDF)
Release Of Information Form (Online)
This form needs to be completed to allow Tides Of Life to exchange information with others.

Tides Of Life Insurance Checklist (PDF)
This checklist can help you collect and understand your insurance coverage.

Referral List of Local Resources (PDF)
A list of resources in Shelbyville and surrounding counties.

Our Privacy Policy (PDF)