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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.
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Indicates required field
Name
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First
Last
Email
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Phone Number
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Is it ok to leave a detailed message?
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Date of Birth? Dr. Muir treats patients 18 years old and up.
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Date of Birth will be used to check insurance benefits and/or for identification purposes.
Insurance or Self-Pay?
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please choose one
Aetna
Cigna (Note: Healthspring/Medicare is out of network)
United Behavioral Health
United Healthcare (Note: GEHA & United Health "Choice" are out of network)
Self-Pay/Out-of-Network
Insurance Patient ID# and Group#
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Please list the "Provider Services" or "Claims" number on back of your card
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This is usually an 800, 866 number.
Brief Reason for the Appointment
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When Did your symptoms start?
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If you have struggled with psychiatric symptoms your whole life, when did your symptoms worsen or recur to prompt you to seek treatment now?
Submit
Home
About
Fees
Contact
Request an Appointment