Insurance Verification

Please fill out the confidential insurance verification form and one of our specialists will get back to you with an overview of your benefits and coverage.

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***FORMS REQUIRE ADOBE ACROBAT IN ORDER TO VIEW OR FILL OUT ON YOUR LOCAL COMPUTER AS WELL AS TO PRINT.***

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If you’re a new client:

Please complete the following mandatory forms and bring them to your first therapy session, or submit them below.

Please read and sign the following release of information and telemedicine forms: Please fill out and sign the last page of these forms.

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