This form is to be completed the day before your appointment as per requirements from the Department of Regulatory Agencies.
Forms of Payment
We accept most major credit cards, cash, checks, Paypal and Insurance. Our network includes Cigna, United Healthcare, and Blue Cross.
Cash discounts available the time of Service.
Packages are available, contact us for more information.
Cash discounts available the time of Service.
Packages are available, contact us for more information.
Forms For Your Session
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| intakeformlieumstefanie2019.pdf |
| informedconsent2019.pdf |
| Mandatory Disclosure |
| Hippa |
| Insurance Consent |
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