Payment Information
Initial Evaluations/Psychotherapy
Crisis Intervention
Consultations
Services and Fees
Medication Management/Therapy
Administrative Requests including
Insurance
Payer Name

Includes disability or social security forms and updates, any letters or forms to a third party, summaries of care, assistance with placement and/or discussion about care with individuals besides the patient (with patient permission). The patient’s credit card on file is automatically used as prepayment. Please allow 14 business days for such requests.

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