All clients will be required to fill out new paperwork in 2017.
You may complete the paperwork by clicking the corresponding link below and printing, or by arriving 20 minutes early to your appointment.
Thank you for your understanding and cooperation!
- Wayne W. Krug, PhD
- Clients Filing MEDICAID
- All Other Providers – Clients Filing Insurance or Private Pay
Supplemental Paperwork –click the name of the provider you are seeing to print the form
- Sonthe Bokas Burge, MS RD LD
- Gwendolyn Crumpton, LPC
- Dan Lowery, PhD
- Whitney McDaniel, LPC – clients 19 & older
- Whitney McDaniel, LPC – clients 18 & under
- Patrick C. Tapia, MD
- Ashley Underwood, LCSW PIP – All Clients
- Ashley Underwood, LCSW PIP – Couples