Forms, Fees and Payment Policies
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Forms, Fees and Payment Policies
Payment Policies and Insurance
I offer a few different payment plans to make my services affordable, as well as to accommodate those who do not have, or do not wish to use their insurance. I accept checks, cash or credit/debit cards. Payment is expected at each visit unless other arrangements are made with me in advance. Each month I will submit electronically for those who wish to use their health insurance and you will be reimbursed by them. I offer a discount to group clients who pay every six weeks.
Forms
New patients must complete all forms listed below.
NOTE: Please ensure pop-ups are allowed for this site, forms will open in a new window.
Credit Card Authorization
(NOTE: This form must be submitted separately. If you are having trouble locating the form after clicking the link, please check your downloads.)