Documents for Your First Appointment

Save time on the day of your appointment by downloading the 6 pre-appointment documents you’ll need to complete and sign.

Download, complete and bring to first session:
1. New Patient Intake Form
2. New Patient Medical History Checklist
3. Client Self Assessment
4. Policy regarding Email, Phone, or Text Communication
5. HIPAA Privacy Disclosure Acknowledgement
6. Treatment and Fee Agreement

HIPAA Privacy Policies:
7. HIPAA Privacy Disclosure

Insurance Information

Dr. Davis is an out-of-network provider for most insurance plans. Check your card, and if it says POS or PPO then your plan will probably reimburse some of the cost of the session (usually 70 – 80%). Clients will be expected to pay at the time of service and will be provided with a receipt that they can submit to their insurance plan.

It’s always best to call your insurance 800 number to see what your plan will cover if this is critical to your decision making.

Checks, cash, credit cards, Venmo accepted.

Quincy and Rosie, the Therapy Dogs

Quincy and Rosie are hypoallergenic Australian Labradoodles. Quincy is a certified Therapy Dog via the organization Dog B.O.N.E.S. Rosie is in training.

They are both available for all counseling sessions if you would like them to be there.

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