If you're a new client, please complete the following 4 forms and return them via email to [email protected] 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 new client info and insurance.pdf
- Consent to Treatment Form consent-to-treatment.pdf
- Telecounseling Consent Form telecounseling consent.pdf
- Client History Questionnaire personal-history.pdf
Email paperwork and insurance card to [email protected]
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