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    • Home
    • Services
    • New Client
    • Links
    • Contact Us

  • Home
  • Services
  • New Client
  • Links
  • Contact Us

New Client Information

Please contact the office at 704-786-4503, extension 3, to let us know of your interest in services. Leave a message with the best number and times to reach you if we are unavailable when you call.


Have your insurance card ready when you call. We can let you know if we are enrolled with your particular insurance company. If we are not enrolled, or you are not sure of your mental health benefits, we can contact your insurance company for you to find out your status (what your co-pay or deductible is, for example).


The next step is to complete the the forms below and send them to our office.

Downloads

New Client Information Sheet (doc)

Download

Background Questionnaire (docx)

Download

Notice of Policy and Privacy Practices (docx)

Download

Notice of Policies Signature Page (docx)

Download

Service Agreement 2018 (docx)

Download

Financial and Cancellation Policy 2018 (docx)

Download

electronic cc auth (pdf)

Download

Consent for Release of Information (docx)

Download

Consent to telehealth (pdf)

Download

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