Please note all forms labelled “Necessary” need to be provided to me by the first intake meeting either in-person, fax, email or postal mail.

Insurance Reimbursement Information

Again, while I do not accept insurance, this form will help you call your insurance carrier to inquire about rate of reimbursement. Payment is due at the time services are rendered and are collected by check or PayPal at a 2.9% surcharge.