The Briarwood Clinic

3645 North Briarwood Lane Suite A      Muncie, Indiana 47304      Ph (765) 289-5520 Fax (765) 289-5840

Click the boxes below to read and print these forms.

Consent Forms (if needed or instructed to complete)
 - General Consent-Disclose : This form is needed if you want records to be exchanged between our office and 
     another provider/school/attorney etc...

- Consent for Couples : This form is required if you and your significant other are participating in couples
    (marital) counseling.

***New Patients MUST complete the link on the New Patient Registration tab***