|Admission & Intakes|
Instructions to Complete Intake Forms:
If you are 18 years of age or older please complete the Adult Intake Form.
If you are under 18 years of age please have a parent or guardian complete the Child Intake Form.
Please complete the forms and either mail or bring them into your first visit.
PLEASE NOTE: Arrive 10 minutes early, because you will have to sign Consent to Treatment and our Health Insurance Portability and Accountability Act (HIPAA) paperwork.
If you are filing insurance we will have to make a copy of your insurance card, so be sure to bring your card with you.If you are UNDER 18 years of age, a parent or guardian MUST attend the first session with you to sign the paperwork.
We are currently preferred providers
for most insurance networks.
We are not Medicare or Medicaid providers.
Feel free to call our office with any questions
or concerns regarding your insurance plan.
The following payment options are available:
|4214 Hobson Court | Fort Wayne, IN 46815 |
Phone: 260.486.5251 | Fax: 260.486.5058
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