INTAKE
FORMS
INTAKE
FORMS
PRIVACY PRACTICES
RELEASE OF INFORMATION
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
Set
Up an Appointment Insurance
Issues Intake Forms
Questions or
Comments? Contact our webmaster
|