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Intake forms
Click on this PDF icon and open the fillable intake forms in Acrobat Reader. Or you can choose to print the forms, fill them out, and then email them to me at
Pay with insurance Kaiser - In Network
UnitedHeathcare
Aetna
Cigna
Blue Shield
Anthem
Pay with a program
Optum Live & Work Well (EAP)
Pay out-of-pocket
$120 per session
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