To ensure your scheduled time with Dr. Lax is focused on your needs, please fill out the forms below that are relevant to you, prior to your appointment time. 

No information typed into these forms are “saved” on our servers. The Auto-Fill Forms are only created for your convenience.  

• If you are currently receiving services from another professional that you feel is relevant to your appointment with Dr. Lax, please fill out this form prior to your appointment. We will make every effort to request your information prior to your appointment 
  • Authorization To Exchange Private Information – DownloadConsent For Treatment
  • Credit Card Authorization
  • Intake Form – Adult
  • Intake Form – Child
  • Privacy Policy

You can fax your completed forms to our private fax machine or you can click here to send the files directly to Dr. Lax’s private email system.