Grace M. Viere, Ph.D.

Licensed Professional Counselor

Forms

CLIENT INFORMATION
GENERAL AGREEMENTS
HIPPA AND PRIVACY RIGHTS

 

Click on the tabs below to view each form. Please print a copy of the Client Information and the General Agreement forms and bring them with you to your first appointment.  

 

 

Dr. Viere accepts Anthem, Cigna and Optima insurance plans as well as self-pay. 

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