Caroline Paltin, Ph.D. Licensed Psychologist,#PSY14274
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Welcome to my private practice. I consider it an honor to work with you.  Here are some initial forms to be printed or emailed for your first visit. 

Brief History Form
Informed Consent and Service Agreement

Do I accept your insurance?  Complete the form below and call your insurance provider and ask if I am an "in panel provider."  They will need the information on the form to find out.  

If I am NOT on your panel, ask if they reimburse for "out of panel providers."  Most PPO insurances do.  Many of my clients are in this situation.  If so, I will be providing a "Superbill" and you will be able to get all or most of your fee reimbursed by the insurance provider.  

Insurance Verification Form 
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