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Insurance & Forms

Before Your Visit

Please know that your medical records are safely on file here at The Center for Healing and will remain confidential at all times, per federal law. 

Before your visit, please download the fillable forms below, apply your signature and Email before your appointment.

Self Pay, Super Billing & Insurances Accepted: 
Insurances listed below are currently accepted. Please note that these are updated periodically and please contact us if you do not see your current insurance listed.

Connecticut 
Aetna
Anthem BCBS
Medicaid/Husky
Medicare
Optum/United Healthcare
Tricare 

North Carolina 
Aetna
BCBS of NC
Medicare
Optum/United Healthcare
Tricare 

Intake Form

Personal and Insurance Information / Authorizations

No Show Policy

No Show, Late Cancellation and
Co-payment Policy

Rights Policy

Client Rights and Responsibilities Authorization

Telehealth Consent

Telehealth Participation Consent Form

Make the Journey Back to Self Love

Through creating a warm and supportive environment, individuals can begin to process their life struggles and work towards restoring balance.

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