Please be sure to provide your insurance card at our first session. If you do not have your insurance card, you will need to pay in full for the appointment. A refund will be issued if the insurance is successfully billed at a later date.
I authorize the release of all medical records to my insurance company. I further authorize insurance payments to be made directly to Anne M. Coleman, LCSW. I understand co-payments, deductibles, self-pay charges are due at time of service regardless of whether the guarantor is present. Charges for services provided between appointments are due at the next appointment or when billed.