Client Forms
Complete these forms before your first appointment to save time when you arrive.
Intake Forms
Click on the link below and follow the directions to submit the form.
Credit Card Authorization Form
We look forward to serving you!
Miscellaneous Forms
If you would like Back on Track to communicate or send documentation to another person or organization a Release of Information must be signed. You can print and sign the document from the link below. Either fax the completed and signed request to 866-405-5789 or email it to info@wearebackontrack.com.
Authorization for the Release of Information
If you would like to request records or documentation please use the following form.