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If you are currently having thoughts of harming yourself or others, please immediately dial 911 or the National Suicide Lifeline at 800-273-8255 or go to the nearest emergency room.

If you wish to expedite the insurance verification process for a sooner appointment, please provide your information below. Your insurance benefits must be confirmed before an appointment is scheduled. If you are self-pay, please put "N/A" in the insurance related text boxes to the submit form. Please note: my contracting with Aetna and Cigna is estimated to be completed by March 1, 2021.

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Date of Birth? *

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Insurance Patient ID# and Group# *

Please list the "Provider Services" or "Claims" number on back of your card *

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Request An Appointment

Let's Get Started!