Client Forms and Payment Link
If you are interested in meeting with one of us, please call the office, use the Contact page, or contact us via the portal. If you are not a current patient, the portal will require you to set up an account.
Client forms, including policies, privacy, and billing, will be available in the patient portal once you have signed up for that. We are also happy to mail them to you as paper copies or to email them to you if you prefer. Please note that our email address indicates the name and type of our business.
If you want to fill out PDF forms online, you can use the free version of PDFEscape. You can not save your form for later work using the free version. You can also print, complete by hand, and fax forms to 907-373-7015, or upload pictures to send to us.
If you are new, please feel free to fill out these intake forms before our first session.
Provider referral form:
Payment Link
We can accept payments via credit card or bank transfer through Stripe using the link/button below. If you would like a superbill, you can call us and we will send you one by email or regular mail, or you can generate superbills in the portal.
If the name on the card is not the patient's name, please enter the patient's name in the Details/Requests field.
We will automatically apply payments to the oldest open charges first, unless you specify that they should be applied to particular dates of service.