Forms / Client Account Login

Before we can start our sessions together, I will need you to complete a registration intake using the following link. You should have also received an outpatient services contract, fee agreement, and notice of privacy practices via email.  If you have not received this email, please contact me and I will send it to you.  There are a few other forms below which may be helpful for you.

Register as a new client online

Client Account Login

Make a payment or login to your current client account

  • This form would be needed if you have information from another therapist, physician, psychiatrist, family member, or any other individual that would be pertinent for our session.

Authorization For Exchange of Information

  • This form is only needed when a minor is involved in the sessions or being seen by Abram alone.

Consent For The Treatment of Minors

  • Instructions for filing insurance claims

Fling Insurance

 

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