Forms

To download and print the below forms, click the form and then click "Open." Print out the forms, complete, and bring with you to your appointment. If you have any problems accessing these forms, please contact us at info@lanternlanefarm.org or at (615) 973-5454.

 

New Client Forms: Adult

Adult New Client Form
Please print these forms. Complete, sign, and bring with you to your appointment.

Release of Liability
Please print this form, complete, sign, and bring with you to your appointment.

 

New Client Forms: Child

Child/Minor New Client Form
Please print these forms. Complete, sign, and bring with you to your first appointment

Release of Liability
Please print, complete, and return this form with your new patient forms.

 

Release of Consent Form

Adult Release of Consent Form
Complete and submit this form in order to allow Lantern Lane Farm to share your information with third parties (ex: primary doctor, insurance, legal counsel, etc).

Minor Child Release of Consent Form
Complete and submit this form in order to allow Lantern Lane Farm to share your minor child's information with third parties (ex: primary doctor, insurance, legal counsel, etc).