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Insurance Information

Out of Network

Intake Information

Below are the intake forms necessary to schedule an evaluation or treatment session. Our office manager, can tell you which forms you'll need.

Parent Questionnaire for Children.pdf154.89 KB
Evaluation Questionnaire for Adults.pdf137.58 KB
OMT Observation.pdf52.79 KB
Release of Information.pdf45.84 KB
Release of Information-Ed & Pro Purposes.pdf94.91 KB
Privacy Practices.pdf101.5 KB
Fee Schedule0617.pdf97.63 KB