Therapy Forms
If you’re a new therapy client, please print and complete the Therapy Intake Packet below and bring it to your first therapy session. If you would like Dr. Orma to coordinate care with another provider (e.g., psychiatrist, primary care physician, etc.), also complete the Release of Information Form below to authorize release of psychotherapy information, and bring it to your first session as well.

Insurance
Dr. Orma accepts some insurance plans. Please contact him for details.

Payment
Payment can be made by check, cash, or credit card. Please contact Dr. Orma for information regarding fees.

To make a payment with your credit card, just click on the “Pay Now” button below. You’ll be taken to PayPal’s Website where you can fill in the payment amount and complete the transaction safely and securely.

Therapy Intake Packet
ED Questionnaire
Release of Information
Note: To download Adobe Acrobat Reader for free, click here.

Life Quality Improvement Center

 

Comments are closed.

Set your Twitter account name in your settings to use the TwitterBar Section.