INSURANCE
I am a provider for:
Aetna
MHN
United Behavioral Health (Optum)
I am a provider for:
Aetna
MHN
United Behavioral Health (Optum)
FORMS for new clients
client information, informed consent, and insurance information. Please print and complete, and bring to first session.
/uploads/6/6/1/9/66191513/private_practice_client_information_form.docx
telehealth-informed consent
telehealth_informed_consent_form.pdf
Please print last page, complete, and bring to first session. First pages are for your reference.
/uploads/6/6/1/9/66191513/private_practice_hipaa_and_acknowledgement.doc