improving family, life, 

knowledge and understanding

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Please take a few moments to complete the Patient Information Forms  prior to your first visit.  Click on the links below to open a PDF form that you can print and bring with you  to your first appointment.   This ensures more time to meet rather than spending time completing paperwork.  This way, our office manger will be able to confirm your eligibility for services and copays and deductibles.   Of course, while every attempt is made to verify benefits prior to a visit date, verification of benefits is not a guarantee of payment.  Actual payment and member responsibility is determined when a claim is actually processed, and may be different than originally estimated due to a number of factors including differences in service procedure and/or diagnosis codes, changes in patient eligibility, other insurance payments made, and the provisions of the plan.   Ultimately, you are responsible for any services not covered by your insurer.

This is all detailed in our Consent for Treatment and Cancellation/Payment Policy Form which you should read carefully, initial and bring to your first session.  If you have any questions, please don’t hesitate to contact our office.  This form  also includes our HIPAA Notice of Privacy Practices.  
Completion of all of these forms is required prior to your first visit.

NEW CLIENT PAPERWORK FOR ADOLESCENTS

​​Before we meet

Please complete each form prior to your arrival and bring with you to your first appointment

Please complete each form prior to your arrival and bring with you to your first appointment

NEW CLIENT PAPERWORK FOR ADULTS

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