Lifeworksnj.com

Gina M. Unger, MSW, LCSW, BCD

WEBGina is formerly the Director of Professional Services at Nutley Family Service Bureau in Nutley, NJ, and she has worked as a counselor at the West Bergen Mental Health …

Actived: 7 days ago

URL: https://www.lifeworksnj.com/index.php/about-us/gina-unger

Individuals and Couples

WEBTestimonials from our Clients. “ Gina provided me with the tools and techniques I needed to implement in every area of my life. I have gained valuable insights that have helped me …

Category: Health Go Health

Before Your Visit

WEBGina M. Unger, MSW, LCSW, BCD, p: 973.930.5507 Ingrid E. Burke, MSW, LCSW, p: 973.441.0886

Category: Health Go Health

Burke and Unger LifeWorks Counseling LLC

WEBBurke & Unger LifeWorks Counseling, LLC, 562 Kingsland Street, Nutley, NJ 07110. Revised 3/22. Page 1 of 2. R. In the case of a couple, family or joint counseling, all …

Category: Health Go Health

Listed on Website Your Rights and Protections Against …

WEBYour Rights and Protections Against Surprise Medical Bills What is “balance billing” (sometimes called “surprise billing”)? When you see a doctor or other health care …

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BIOPSYCHOSOCIAL HISTORY PRESENTING PROBLEMS Pr

WEBRev. 6/15 Page 5 of 5 Client Name: _____ Client ID#:_____ Client SS#_____ Date: _____ SOURCES OF DATA PROVIDED ABOVE: [ ] Client self-report for all [ ] A variety of

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Helpful Resources

WEBAlcoholics Anonymous AA 800-923-8722 Alcoholics Anonymous is a fellowship of men and women who share their experiences with each other that they may solve their common …

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Before Your Visit

WEBGina M. Unger, MSW, LCSW, BCD, p: 973.930.5507 Ingrid E. Burke, MSW, LCSW, p: 973.441.0886

Category: Health Go Health

Authorization for the Release, Use and Disclosure of Protected …

WEBAuthorization for the Release, Use and Disclosure of Protected Health Information Client Name: Date of Birth: Address: I, authorize to release,

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Authorization for the Release, Use and Disclosure of Protected …

WEB979023.2 Authorization for the Release, Use and Disclosure of Protected Health Information Client Name : Date of Birth: Address:

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CLIENT REGISTRATION (PLEASE PRINT)

WEBRev. 6/15 Page 1 CLIENT REGISTRATION (PLEASE PRINT) Date: _____ Client Name:_____ Parent/Guardian/Personal Representative: _____

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COVID-19 In-Person Informed Consent Form

WEBPage 2 of 2 Commitment to Minimize Your Exposure To obtain services in person, you agree to take reasonable safety precautions (you, your family

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BIOPSYCHOSOCIAL HISTORY PRESENTING PROBLEMS Pr

WEBClient Name: Client ID#: Client SS# Date: Rev. 3/22 Page 5 of 5 SOURCES OF DATA PROVIDED ABOVE: [ ] Client self-report for all [ ] A variety of sources (if so, check …

Category: Health Go Health

Service Agreement/Informed Consent/Office Policies

WEBPage 2 of 2 979033.4 Rev. 6/15 Burke & Unger LifeWorks Counseling, LLC, 562 Kingsland Street, Nutley, NJ 07110 In the case of a couple, family or joint counseling, all members …

Category: Health Go Health

COVID-19 In-Person Informed Consent Form

WEBTitle: Microsoft Word - A9_COVID19_In-Person_Informed_Consent_Form final 031122.docx Created Date: 4/13/2022 2:15:45 PM

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A1 Revised ClientRegistration 3-22

WEBRev. 3/22 Page 1 CLIENT REGISTRATION (PLEASE PRINT) Date: Client Name: Parent/Guardian/Personal Representative: Relationship Status: Single Married Partner …

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Surprise Billing Protection Form

WEBBy signing, I understand that I am giving up my federal consumer protections and may have to pay more for out-of-network care. With my signature, I am agreeing to get the items or …

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