FEES and INSURANCE INFORMATION

 

 

These forms provide you with the information about OMINIS, payment and health insurance policies. Taking care of these forms before your appointment will allow us to use the whole session for counseling.

  • Please read "Health Information Privacy Accountablity Act" required by law (HIPAA). You do not need to print this form. I will ask you to sign a form that acknowedges that you have recieved and read a copy of HIPAA.

You may download HERE!

Please make sure to provide your
CELL PHONE NUMBER and YOUR E-MAIL  to ensure timely communication.
Thank you.

 

 



 
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