Carol Dallinga, LCSW, CGP, EMDR, New York State Licensed Clinical Social Worker. Westchester County, New York. 914-447-9196. License #R027862-1 caroldallinga@gmail.com. www.caroldallinga.com CLIENT INTAKE INFORMATION & AGREEMENT Name: __________________________________________ Date: _________________ Age: _____________ Date of Birth: [...]
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Individual Therapy Services I provide individual psychotherapy, a process through which clients work one-on-one with a trained mental health clinician in a safe, caring, and confidential environment. I believe psychotherapy can help eliminate or control troubling symptoms so a person can function better and can increase well-being and healing.
Good Faith Estimate - (GFE) Under Section 2799B-6 of the Public Health Service Act, health care providers and health care facilities are required to inform individuals who are not enrolled in a plan or coverage or a Federal health care program, or not seeking to file a claim with their plan or coverage both orally and in writing of their ability, upon request or at the time of scheduling health [...]
