Download Forms
You may download and fill out the forms below prior to your first appointment. If you would prefer to fill these forms out during your first session, I will have forms available on site.
| Form | Download | |
|---|---|---|
| Client Information Form | DOC | |
| Notice of Confidentiality | DOC | |
| Professional Disclosure Statement | DOC | |
| Insurance Information Form | DOC | |
Billing
As a licensed counselor, I am able to take most major insurance providers.
If you have questions regarding the outpatient mental health coverage of your policy, please contact my bookkeeper, Teresa, at tmemedicalbilling@gmail.com. For appointments, please conact us at lemieuxcounseling@gmail.com