Secure File Transfer and Questionnaire

The intake process helps us to carefully match you with the most suitable therapist to assist you in reaching your therapeutic goals. To begin this process, we kindly request that you complete this form, granting us your consent to verify your insurance coverage and contact you regarding insurance benefits and any other relevant information. Please know that any communication we have with you by phone or email will not disclose any personal or sensitive information related to your therapy. We value and respect your privacy, and strive to ensure a comfortable and confidential experience for all our clients. Thank you for choosing our Compassionate Edge.

Please correct the errors described below.
If using EAP benefits
    Please upload a file

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