Forms, Insurance, Payment and Articles

Covered by most insurance plans (not HMO's)

As of 1/1/11, Mr. Fuller will be out-of-network provider for all insurance plans.

Payment due at the time of session.
Forms provided so insured can file claims for reimbursement. (See form download in left column of this page, "Form for Insurance Reimbursement".

Payment accepted: Mastercard, Novus/Discover, cash and Visa.  (Checks accepted for established clients). 

For  questions about coverage, please contact us or contact your insurance carrier regarding your plan's requirements.

 Language spoken: Engish

INTAKE FORM (Click to download):

• For new clients: please download, complete and sign Intake prior to the initial session.
• For returning clients (6+ months), please update Intake with current information.

NEW CLIENT INFORMATION (Click download):

• For information regarding services, fees and confidentiality, please download to read.

MEDICAL RELEASE (Click to download):
For clients to request record release to/from physicians, psychiastrists or attorneys requesting from or sending records to our offices.

RESPONSIBLE PARTY:
Complete, Sign and send this form to our offices if you are the responsible party financially for a client seeking care through our offices.  (i.e., college student, child, grandchild, friend, etc.)

FORM FOR INSURANCE REIMBURSEMENT:
Attach a copy of our invoice to this form, mail or fax to your insurance company for reimbursement paid directly to the insured or client.

Articles to download:

• Anger Feels Like Power
• Couples Communication  
• Crisis in the Workplace
• Eating Disorders  
• EMDR: What it is, why it works 
• Family Strengths 'Self-Test 
• Holiday Blues
• Laughing Your Way to Better Health
• Six Secrets to a Stronger Family
• The Borderline Personality
• The Narcissistic Personality