If you plan to use insurance, please complete the following form and return it to our office by e-mail or fax at least 24 hours prior to your appointment.

Insurance Screening Form

Agencies:
We gladly accept referrals from other agencies. Please fax the attached form back to us, and we will contact the client to schedule an appointment.
Please send a release of information with the referral in order for us to notify you of contact made. You may send your release form, or use our form that is below for your convenience. 

Referral Form
Release of Information

You will need to download adobe acrobat reader to review the above mentioned forms.
If you do not have Adobe Acrobat reader, Please click here to download it.