Intake Information

Ten Minutes Early

Please plan on either coming at least ten minutes prior to your appointment time to fill out intake forms, or download and complete all of the forms below, and bring them to your session.

Please Call

Please call your insurance provider prior to your first session to determine any copay, deductible,  and/or authorization applicable to your plan.  Please bring this information to our first session. I will bill your insurance for you.
If I am not a provider for your insurance provider, I will still send in claims for you, however, payment for the session will be due at the time of the session. Your will receive reimbursement when your insurance provider pays the claim.

Need To Cancel ?

Please call at least 48 hours in advance if you cannot make your first appointment.  Should you wish to reschedule, it will be necessary to pay for the missed appointment (if less than 48 hours notice is given) before another appointment can be scheduled.

Please  fill out all the forms below, at least 2 days prior to your initial appointment
(be sure and click submit at the bottom of each form)

***** Credit Card Authorization *****

Please CLICK HERE to download your credit card authorization form. Fill it out, take a picture of it with your cell phone and text it to me prior to your initial appointment. I will ask for your CVV number during that first appointment.