If you're a new client, please complete the following forms and bring them to your first therapy session.
- Agreement And Informed Consent For Treatment
- Authorization to Disclose Protected Health Information. NOTE: Please do not fill out this form on your own, but bring to office visit
- Client Information Form
- Fee Agreement and Insurance information NOTE: If using insurance, please call them before filling out the Fee Agreement Form. Please ask..
- Do you have a deductible, if so, what amount remains?
- Is there a copay, and if so, for how much?
- Is Preauthorization required and if so by whom?
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