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Helpful Forms

BEFORE filling out the online forms, PLEASE BE SURE to

  • CALL your INSURANCE company BEFORE
  • Calling for appointment. ASK customer service to:
  • Find out your CO-PAYMENT due at your appointment.
  • Find out your yearly DEDUCTIBLE & whether you have met it yet.
  • Bring your IDENTIFICATION cards (Insurance, military, and/or driver's license)

If you're a new client, please complete the following forms and bring them to your first therapy session.

If you would like me to coordinate care with another provider (for example, your psychiatrist, primary care physician, etc.), complete this form to authorize release of psychotherapy information:

Note: To download Adobe Acrobat Reader for free,
click here.

If you are experiencing a life-threatening emergency, CALL 911 immediately or go to your nearest Emergency Room right away.

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Helpful Forms

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