Thank you for choosing me as your new therapist. There are a few forms to complete before we get started.
For New Clients Paying with Insurance
| Patient_Registration_Form.docx |
Please complete and return this Patient Registration form to me three days before your first session. This gives me time to verify your benefits and give you clarity about your out of pocket costs. You can email your completed forms to me at [email protected]. You can also fax (contact me for fax info) or paper-mail forms to me if you feel more comfortable that way. If you intend to self-pay, skip this form.
Forms for All New Clients
| treatment_agreement.doc |
| client_information_form.doc |
Please complete and sign the two forms above. These can be brought with you to your first session.
Build Your Team
| info_release.doc |
Because mental health is interdependent with physical health, I ask for the privilege of coordinating your care with your other healthcare providers such as primary care physicians and psychiatrists. This release, while recommended, is completely voluntary.
