Forms

If you are a new client, please print and fill out the following form and bring it to your first therapy session. To verify insurance information prior to the first appointment, complete the SECURE HIPPA-COMPLIANT INSURANCE VERIFICATION FORM

Please also download and read the following document which provides general information for new clients, including information regarding fees and insurance, consent to treatment:

If you would like to allow coordination of care with another provider (for example, a psychiatrist, primary care physician, etc.), complete this form to authorize release of information:

To find out more about your health care coverage complete the following form. You will be notified in one to three business days with information about your out of network mental health coverage

Additional information is available to clients includes the following and is displayed on the wall in the lobby of Dr. Fuller’s office:

   View Dr. Amy Fuller's profile on LinkedIn  

Subscribe to Blog via Email

Enter your email address to subscribe to this blog and receive notifications of new posts by email.