Health in Tandem, LLC Send Message

Who would be receiving care?

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Reason for care
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Administrative
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Please let us know how you were referred to our services
Billing & Payment
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Client Preferences
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Session frequency may vary based on clinical needs, and your therapist may suggest a different frequency than what is indicated here after completing your first session together.

By submitting this form, you agree to the processing of your sensitive personal information, which may include protected health information (PHI). This information may be viewed by team members in this practice. You also agree not to submit any payment information, including credit or debit card details, through this form.