Forms
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Please do not email a completed form, as doing so could compromise your Protected Health Information! The intake forms are now done within a secure, HIPAA compliant portal. You'll reveive that link after making an appointment.
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Out-of-Network Insurance Benefits Form
This form has all the questions you need to ask to find out if your insurance company will pay for my services out-of-network. (necessary for all insurances except Anthem BCBS). Please call them, fill this out, and bring it with you to your appointment.
This form has all the questions you need to ask to find out if your insurance company will pay for my services out-of-network. (necessary for all insurances except Anthem BCBS). Please call them, fill this out, and bring it with you to your appointment.
| outofnetworkbenefits.pdf |
