Forms and Fees

The Informed Consent Form will answer your questions on fees. Please contact your insurance company, if you have a PPO, regarding direct reimbursement to you. When you contact Ann, she will send all necessary forms to you via secure HIPAA compliant email to submit online via a secure portal for health care. The forms below are for your information only.




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Helpful Forms

Click here to view and print forms for your appointment.

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