If you're a new client, please complete the following forms and bring them to your first therapy session.
- Client Disclosure Form
- HIPPA Form
- Intake info Cover Sheet
- Limits of Confidentiality/Therapy Cancellation Policy
If you have questions regarding your insurance coverage, the Insurance Questionnaire form is a useful tool to use when contacting your insurance company.
If you will be using a credit/debit card to pay for your sessions/co-pay, please complete the Client Easy Pay form.
Thank you! I look forward to meeting with you!
|
|
|
|
|
|
|
|
|
Note: To download Adobe Acrobat Reader for free, click here.