Free Phone Consultation

A complementary 15-minute phone consultation is available for all prospective clients.  Please call (215) 222-4825 to arrange a phone consultation time.
Practice Forms PDF Print E-mail
Written by Administrator   
Saturday, 31 January 2009 19:49
Prior to being seen for the first visit, clients will need to complete the following forms.  They take 15-20 minutes to complete.  You can print these forms in advance or arrive early to complete them.  Either way, it is necessary for them to be completed prior to beginning treatment.

Psychologist-Client Agreement

Notice of Privacy Practices

Client Information Packet

Authorization to Communicate With Your Primary Care Physician (PCP) – please fill this form out even if you do not want me to communicate with your PCP

Authorization of Insurance Benefits – applies to Aetna & Highmark Blue Shield members 

Last Updated ( Wednesday, 29 July 2009 15:34 )