This collection of forms will be filled out when seeking treatment at EOPA.
Please click on your provider's name to download their corresponding form packet.
If Dr. Todd Rochman is your provider, you can find the forms you need below.
This notice describes how medical information about you may be used, disclosed and safeguarded, and how you can get access to this information.
Please fill out this form for consent to use telehealth services.
You can also download our instruction sheet by clicking here for using the Doxy.me service.