Patient intake form
Enter your email below and we'll send you a secure link to your intake form. Please complete it before your first visit.
The form opens in a secure, encrypted page. Your answers are kept confidential.
- 01
Enter your email
Type your email address in the box below and submit it.
- 02
Open the secure link
We'll email you a private link to your intake form.
- 03
Complete your intake
Fill it out before your first visit. It goes straight to our team.
No email after a few minutes? Check your spam folder, or email user@hppmi.com. If you are in crisis, call or text 988 or call 911.