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New Clients

Credit Card Authorization Form:For your convenience, I have included several documents below that will be helpful in obtaining prior to your visit.  Please review, complete, scan if possible and email the completed forms to or submit the forms to the following fax number: 

Fax: (781) 205-1877

It will also be helpful to include a copy of the front and back of your insurance card prior to your initial visit.  

Once we receive this information, we will contact you to arrange an intake appointment. 


New Client Packet 

click here

Clinic Brochure:  click here

Credit Card Authorization Form:  Click here

Insurance Waiver Form:

Click here

Access to client portal is located at the following address:

Thank you.

"Forgiveness and acceptance is about loving yourself enough to move on".

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