If you are a new client/patient and wish to register for services, please complete the following forms: 1. Insurance and Billing Pre-authorization Registration, 2. Client/Patient Intake Form, 3. Credit Card Authorization From. This will help us expedite your request. Our billing manager will email you with your pre-authorization and our intake coordinator will call you to discuss matching you with a therapist. You can also give us a call if you need any assistance.
- Insurance and Billing Pre-Authorization Registration Form
- Credit Card or Check Authorization Form
- Client/Patient Intake Form
- Coaching Intake Form
Preoperative Evaluation Form:
- HIPAA Authorization to Disclose Information (For Your Referring Provider)
For Groups please complete the following forms:
*Please go to the Group page to select your group session.
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