If you're a new client, please complete the following forms and return them via email, fax or postal mail to the therapist 24 hours before your first scheduled therapy session. Also provide a copy of the front and back of your insurance card if you are wanting to utilize in-network insurance benefits accepted by Tami Applegate MFT.
|Client Information and Insurance Form /userfiles/1009961/file/New Client Data Information and Insurance consents.pdf|
|Consent to Treatment Form /userfiles/1009961/file/Intake Consent to Treatment 2020.pdf|
|Telecounseling Consent Form /userfiles/1009961/file/telecounseling informed consent.pdf|
|Client History Questionnaire /userfiles/1009961/file/History Questionaire.pdf|
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