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New Client Information

Welcome!

In order to avoid problems with insurance verification, please complete the following form at least 3 days before your first appointment 1 of the 3 following ways:

  1. Online
  2. Fax
  3. Email

Payment will be due at the time of service if we do not receive New Client Information form at least 72 hours before your first appointment. Thank you for your cooperation and we look forward to meeting you.

Option Submit Online

  1. Information is being submitted to an email that is a secure, HIPAA compliant email.  Data is encrypted in order to ensure confidentiality
  2. Click on the Online New Client Information Form link and fill in requested information
  3. Make sure to hit submit
  4. Online New Client Information Form

Option Email

  1. Save first in your own My Documents
  2. Make changes
  3. Email Attachment, recoverynow@hipaamail.us
  4. This email is a secure, HIPAA compliant email.  Data is encrypted in order to ensure confidentiality

Option Fax

  1. Complete Online Form By Entering Client Information
  2. Fax to (888) 345-6044

Form to be Completed Email or Fax

New Client Information

 





Our Licensed Psychotherapists

At our office, we work together as a team, bringing the feeling of family into the treatment experience. Our team utilizes multiple services and for some multiple providers in our group to help clients and their families achieve success. Individual, family/couples and group therapy are at the foundation of our practice and help us lay the groundwork for a positive path to realizing one's full potential.

Most importantly, the Recovery NOW family is made up of some of the premier therapists and practitioners in the entire San Pedro and Hermosa Beach area. When you choose Recovery NOW, you are getting more than a group of general therapists – you are receiving exceptional care from a team of extraordinary individuals.



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