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Home
About Us
Founder – Rusty Lozano
Our Programs
Conditions We Treat
Testimonials
Infrared Images Study
Rusty On The Radio
Co-pilot Program
Services
Pain Management Services
Biofeedback
ADD / ADHD Therapy
Adolescent Counseling
Sibling Resolution
Cognitive Behavior Therapy
Animal Assisted Therapy
Interactive Metronome ®
QEEG Brain Mapping
EEG Biofeedback
POTS Treatment
Resources
Demonstration Videos
Patient Forms
Purchase Equipment
Therapy Hour w Rusty Lozano
Therapy Hour Episodes
Rusty On The Radio
Press
Blog
Contact
Patient Forms - OnlineBiofeedback: Center for Biofeedback & Behavior Therapy
16530
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Patient Forms
Click on the links below to download the necessary forms.
Intake Adult History
Intake Child History
Stress Signal Checklist
HIPPA Brochure