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Insurance Panels & forms

INSURANCE PANELS

I am an in-network provider for Premera Blue Cross and for First Choice Health.
I am able to accept insurance on an out-of-network basis for a number of other panels.

FORMS FOR NEW CLIENTS

Currently my new client registration forms are available on my on-line platform at Simple Practice.

new_client_registration_2016.pdf
File Size: 76 kb
File Type: pdf
Download File

agreement_for_psychological_services_collier-5_2f2018.pdf
File Size: 112 kb
File Type: pdf
Download File

hipaa_policies_and_practices_2016.pdf
File Size: 89 kb
File Type: pdf
Download File

consent_to_use_of_telehealth.pdf
File Size: 44 kb
File Type: pdf
Download File

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  • Home
  • My Background
  • Theoretical Approach
  • Specialized Training
  • Contact Information
  • Panels & Forms