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, fill-out, and email your signed copies to me.  

 

 

Dr. Viere accepts Anthem insurance plan as well as self-pay. 

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