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Forms & Policies

Payment Policy

Payment for psychological services is due at the time of services. This includes out-of-pocket payment and any insurance copay or deductible payments.  

Cancellation Policy

Any appointment cancelled less than 24 hours before the scheduled appointment time will result in a $60 cancellation fee. If you fail to show to your scheduled appointment without canceling, you will be charged for the full appointment. 

OTHER FORMS

Before your first appointment, you will be asked to fill out each of the following forms. Please print and fill out forms prior to your appointment, or arrive 20 minutes prior to your appointment time to give yourself enough time to fill out all paperwork. 

ADULT PATIENT

FORMS

CHILD 

PATIENT

FORMS

RELEASE

OF 

INFORMATION

INSURANCE

CHECKLIST

FEE & CANCELLATION POLICY

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