This section will act as a document repository for all of the documents that a provider might need. To download the latest version of a document, just click on it below.

Participating Provider Application Cover

Supplemental Questionnaire
Participating Clinician Provider Agreement
W-9
Confidentiality Statement of Understanding

HIPAA

Fee Schedule
Provider Checklist
Some documents are provided in Adobe Acrobat format. Acrobat is free software that can be obtained from www.adobe.com, and comes pre-installed with most browsers and operating systems. If you do not have Adobe Acrobat, you can get it by clicking on the logo at right.