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INTAKE FORMS

INTAKE FORMS

PRIVACY PRACTICES

UNITED HEALTH CARE/UNITED BEHAVIORAL HEALTH CARE MEMBERS fill out these additional intake forms for adults here and for children/adolescents here. These forms will be faxed to United Health Care to ensure that you will be authorized to have the services reimbursed by your insurance company

ofiice photo 5720 A Signal HIll Ct.2 The Anxiety Trap by Dr. Steven Katkin
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