Submit Documents Do you have your Registration ID?* Yes No While we need your driver's license, or other form of identification, some other documents you may wish to submit here might be:Divorce Decree, Custody Documents for minors if applicable, etc. Take a PhotoRegistration ID* Patient Name*Please be sure to enter the name of the patient who will be attending the sessions. First Last Date of Birth* MM slash DD slash YYYY Document Name:* HiddenFiles*
