NO EVENTS CURRENTLY
***UPDATE 6/27/2024***
AS OF TODAY EVERGREEN CLINICAL ASSOCIATES IS FULLY CREDENTIALED AND ACCEPTING THE FOLLOWING INSURANCE CARRIERS:
ANTHEM
AETNA (PRIVATE AND MEDICAID)
PASSPORT MEDICAID
WELLCARE MEDICAID
UNITED HEALTHCARE
CIGNA
HUMANA
UNITED/OPTUM
Here you will find forms, such as informed consents and others that we use. Feel free to read over them.
Other forms, such as our privacy practices, client rights, and release of information form will be available for download soon!
Files are available in both Word .doc and fillable Adobe .PDF formats for your convenience.
Evergreen Clinical Associates Informed Consent (doc)
DownloadEvergreen Clinical Associates Informed Consent (pdf)
Downloadevergreen release of information 2023 (pdf)
Downloadevergreen release of information 2023 (doc)
DownloadEvergreen Privacy Practices (pdf)
DownloadEvergreen No Surprises Agreement (pdf)
DownloadCopyright © 2024 Evergreen Clinical Associates - All Rights Reserved.
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