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About Us
Our Admin Team
Our Med Team
Our Therapy Team
Our Nursing Team
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Our Specialties
Healthy Lifestyle Support
ADHD Testing
Autism Testing
Healing with Hope
Ketamine
TMS
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Virtual Visits Links
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Contact Us
Become a New Patient
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Important Office Forms
Required forms for all new patients...
**Virtual Visit Consent Form**
**Email & Text Consent**
**HOPE419 Office Policies**
Additional forms...
Patient Health Questionnaire-9
Release Of Information Form
Letter/Document Request
Permission To Obtain Treatment
Credit Card Authorization
Out of Network Form
Medical Treatment of a Minor
No Surprise Billing FAQs
Incident billing forms...
Incident Billing, Rachel Denbow, PA-C
Incident Billing, Dominic Polifrone, PA-C
Incident Billing, Dave Krenrick, LISW-S
Incident Billing, Melissa Speelman, LISW-S
Incident Billing, Traci Willis-Wagner, LISW
Incident Billing, Kerry Jeric, LPCC-S
Incident Billing, Anna Allen, LSW
Incident Billing, Hailey Schnellinger, LSW
Incident Billing, Cori Overs, LPCC
How are we doing?
Attuned Eating Group Survey
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