New patient information

 

Insurances accepted

 

We are in-network with many insurance companies, including United Healthcare and Aetna. Please contact us to determine if we are in your network.

 

As a courtesy, we will verify your out-of-network benefits before your first visit.

 

We offer a discount to self-pay patients.

 

Patient forms

 

Please download, print and complete the forms below and bring to your first session:

 

download PDF

HIPAA Notice of Privacy Practices Form

download PDF

Patient Medical History Form

download PDF

Patient Information and Consent Form

download PDF

Privacy and Cancellation Form

download PDF

Current Complaints Form

 

 

new patient consultation