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Forms

Please contact me to schedule an initial appointment at 201-897-2221.

I am happy to provide a free, 15 minute phone consultation to discuss your needs and provide further information.

 

After scheduling an initial appointment, I will send you a secure link to

electronically complete intake forms.

 

 

Good Faith Estimate

In compliance with the No Surprises Act that went into effect January 1, 2022, all healthcare providers are required to notify clients of their federal rights and protections against “surprise billing.” This Act requires that we notify you of your federally protected rights to receive a notification when services are rendered by an out-of-network provider, if a client is uninsured, or if a client elects not to use their insurance (click below to view full document).

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