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Uninsured Child Forms

For new child patients not using insurance, please print and fill out forms 1-7 and bring to your therapy session. 

  1. Child Consent to Treat Form
  2. Divorce and Custody Policy
  3. Symptom Measurement Questionnaire
  4. Intake Questionnaire
  5. Financial Policy
  6. Appointment Reminder
  7. Outpatient Service Contract - print for your records

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LOCATION

Appointment Times

Monday:

8:00 am-7:00 pm

Tuesday:

8:00 am-8:00 pm

Wednesday:

8:00 am-8:00 pm

Thursday:

8:00 am-7:00 pm

Friday:

8:00 am-5:00 pm

Saturday:

8:00 AM-12:00 PM

Sunday:

Closed