Dr-fishbein.com

Dr. Jeffrey A. Fishbein, Psy.D. PC Clinical Psychology and …

WebOur aim has always been to provide the highest quality of care to improve the mental health and well-being of anyone who seeks out our services. Fishbein & Associates …

Actived: 7 days ago

URL: http://www.dr-fishbein.com/

Clinical Psychology

WebHello and welcome! I founded Dr. Jeffrey A. Fishbein & Associates twenty-five years ago in order to meet the growing needs of the population we serve. Our aim has always been, …

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Dr. Claudine M. Liss, Psy.D. Our Providers

WebDr. Liss specializes in providing therapeutic services to children, adolescents, and families. She conducts comprehensive assessments of children’s cognitive, developmental, …

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About Dr. Michele Kerulis

WebDr. Michele Kerulis is a professor of counseling and sport psychology, author, private practice clinical therapist, and public speaker. Starting her early career as a fitness …

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Beth Shoaff, Psy.D. Our Team

WebIn the university setting, Beth was a part of the interdisciplinary sports medicine team providing performance enhancement sessions as well as mental health services to all …

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About Deb Ognar, MS, RD, LDN, CSSD

WebDeb Ognar is a sports dietitian with more than 15 years of experience providing sports nutrition counseling, team presentations, corporate and community wellness seminars, …

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Caroline Kroe, MSW Our Providers

Web155 Revere Drive, Suite 12. Northbrook, IL 60062. Phone - 847.267.0001

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Health Insurance Portability and Accountability Act (HIPAA)

Webor health care operations when your appropriate authorization is obtained. In those instances when We are asked for information for purposes outside of treatment, …

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Policies and Consent CONSENT

WebHealth insurance policies do not cover sport psychological services. However, if there is a pre-existing diagnosis and part of the “treatment” relates to that diagnosis, we will …

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FISHBEIN & ASSOC. POLICIES 2016

WebHealth insurance policies do not cover sport psychological services. However, if there is a pre-existing diagnosis and part of the “treatment” relates to that diagnosis, we will …

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New Client Information

Weba) OTHER THERAPIST OR OTHER MENTAL HEALTH PROVIDER: May we contact this person for the purposes of treatment coordination?  YES NO NAME: _____ OFFICE …

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DR. JAF & ASSOC. HIPAA

WebWe may use or disclose PHI for purposes outside of treatment, payment, or health care operations when your appropriate authoriza tion is obtained. In those instances when We …

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policies and consent

Webmonth. Health insurance policies do not cover sport psychological services. However, if there is a pre-existing diagnosis and part of the “treatment” relates to that diagnosis, I will …

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CLINICAL Policies 2015

WebCONSENT FOR TRANSMISSION OF PROTECTED HEALTH INFORMATION BY NON-SECURE MEANS: During the course of treatment, I often use email, fax, or other forms …

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FISHBEIN & ASSOC NUTRITION POLICIES

WebInsurance coverage is not valid for payment. Health insurance policies do not cover sport nutrition services. However, upon your request, we can provide you with a coded receipt …

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POLICIES AND INFORMED CONSENT

Webcovered by health insurance and are the client’s personal responsibility. PRIVACY: Confidentiality is your right and our duty. In general, the privacy of all communications …

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NEW PATIENT INFORMATION SHEET

Web770Lake!Cook!Road,!Suite!250!•!!Deerfield,!IL!60015!•!!P.!847.267.0001!•!!F.!847.267.0002!•!!www.gfapsych.com!! NEW PATIENT INFORMATION SHEET

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NOTICE OF PRIVACY PRACTICES ACKNOWLEDGEMENT

WebI understand that, under the Health Insurance Portability & Accountability Act of 1996 (“HIPAA”), I have certain rights of privacy regarding my protected health information. I …

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