All Patients

Our forms are now available through our online Client Portal. When you book your initial evaluation, our staff will email you a link to the platform where you can complete your forms online.  Please allow about 30 minutes to complete your forms before your first appointment.

X

Release of Information

If you need a release of information form to deliver to a prior-treatment provider you may download and use the form below.

Release of Information Form

X

HIPAA Privacy Policy

Curious about your HIPAA privacy rights? Follow the link below to read the details.

HIPAA Privacy Policy

X

Medicare Private Pay Patients

If you are a Medicare-eligible client, know that we do NOT accept Medicare payments at this office.

Contact Angela Voegele, LCSW-C to see if she can accept you at her home office in Germantown where she accepts direct payments from Medicare.

If you would like to work with one of the clinicians at this office, please read over this Medicare Private Contract to learn more about how the opt-out option works. No need to print and sign this form. We can send it to you via the patient portal.

Medicare Private Contract