Thank you for taking the time to complete this paperwork. Please follow the next three steps. All answers are confidential.
- In order to bill your insurance directly, please fill out the following form for O’BRIEN’S BILLING SERVICES by clicking this link: Form to submit
- Before coming in for your first scheduled session, please print and complete the following forms: Confidential Personal Record, Individual Therapy Agreement and HIPPA Signature Page and bring them with you to your first scheduled session.
- Please review HIPPA-Form. (no need to print this).
If you have any questions, please call our office at 315-436-5428.