Embedded Files
NOW ACCEPTING REFERRALS
Information that will be requested during your assessment and prior to admissions
Information that will be requested during your assessment and prior to admissions
- Demographic information (name, address, telephone number, Social Security Number, date of birth, age etc.)
- Detailed description of presenting concerns
- History of any previous treatment received
- Insurance information
- Primary Care Physician Referral
- Medical Records
- Contact information for anyone who you would like to be included in your treatment planning and/or treatment process
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