Privacy & Consent Forms
Please return the signature page of requested consent forms below via fax: 650.713 5322, via email: jmeiselman@mac.com, or via regular mail. HIPAA form is for your review and records. I will also need a copy of your Medicare and supplemental insurance cards to begin the process for insurance coverage. Once my billing agency has checked your insurance, and you are informed of any copayments and deductibles required, we can schedule our initial meeting which involves a clinical interview and usually takes about 1–1.5 hours.