Your First Visit

Thank you for choosing an OTC therapist as your counselor.

It is our goal to make this process as comfortable and beneficial as possible.

To prepare for your first appointment please:

  • Arrive 10-15 minutes prior to your appointment time. This will allow time for the handling of paperwork.
  • Complete the appropriate forms below and bring them to your appointment.
  • Please bring your insurance card and a form of identification, such as a driver license, birth certificate or DMV ID card.

We look forward to meeting you!

If you are seeing Olivia Reinchenbacker, RN, MSN, PMHNP-B, please complete these forms:
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Consent Form

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Patient Record Form

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Olivia Self Pay Agreement

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Olivia Cancellation Policy

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Credit Card on file

If you are seeing Diana Boutté MSN, RN, PMHNP-BC, please complete these forms:
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Consent Form

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Patient Record Form

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Diana Self Pay Agreement

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Diana Cancellation Policy

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Credit Card on file

If you are seeing a therapist please complete these forms:
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Patient Record Form

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Physician Care Communication Form

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Coinsurance Policy

Our therapists are in-network with most major insurance plans as well as Employee Assistance Programs.
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Credit Card on file

If you are using telehealth, please complete these forms:
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Telehealth Consent Form

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Telehealth Information Form

Every journey begins with a single step. Let us help you take steps toward a brighter tomorrow.
Call us now