For New Clients

Welcome.  If you are visiting this page, you and I have not yet met in person, and I need you to do some paperwork. First, if you will be using insurance, I need you to scan the front and back of your insurance card and the front of your driver’s license so that the images print out clearly in black and white.  Using the first link below, please also fill out the intake packet before our first session. You can fill it out online, then download it to your computer, or download the blank forms and fill them out on your computer.  When you have filled out the packet, you can send it and the scanned images to me via secure email (such as Sendinc) or fax them to my secure fax, (860) 231-1960. I will then share them with my billing service, which verifies your insurance benefit, submits claims, and pesters me if I don’t supply the necessary information promptly. Thanks!

Intake Packet

Authorization to Release Information

 

 

 

 

 

 

 

 

 

Intake Packet

 

 

 

 

 

Authorization to Release Information