Please click on the links below to view and print EACH OF THE 6 FORMS. Bring the completed forms with you to your first visit. You will need a copy of EACH OF THE 6 FORMS.
Please Note: The application for reduced fee services is ONLY available to those clients who have NO OUT OF NETWORK COVERAGE available through their insurance.
Reduced Fee services DO NOT qualify for insurance reimbursment.
If you have any questions regarding client forms, please contact Bethany at 314-983-9300.
Client Agreement & Acknowledgements
Application for Reduced Fee Services
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