SCHEDULE A CONSULTATION

Appointments currently available on Mondays by reservation only.

I am out of network with all insurances, but I can generate a superbill on request that can be used for reimbursement for HSA/FSA funds, and can be used if your insurance has out of network (OON) benefits. If you're unsure if you have OON benefits, I have a worksheet that can guide you through the process of finding out.

Name

First Name

Last Name

Phone

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Please describe what you are seeking care for

Date / Time

Please list 2-3 dates / times that would work for you in the coming weeks

How did you hear about Dr. Retherford?