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.

Click on the forms below to complete and submit electronically
 - General Consent-Disclose : This form is needed if you want records sent to us from another provider; or sent from us to another provider.

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