| 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. |
Appointments: Fees: The following payment options are available: We are currently preferred providers for many managed care networks. Feel free to call our office with any questions or concerns regarding your insurance plan. |
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| 4214 Hobson Court | Fort Wayne, IN 46815 |
Phone: 260.486.5251 | Fax: 260.486.5058 ©2010 Website by Essential Designs Now |
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