New Client Application Form
Please fill out this form completely.
Yvonne Sinclair LMFT is not accepting new clients in the Lincoln Office
Yvonne Sinclair LMFT no longer accepts TriCare or MHN insurance.
Sorry for any inconvenience.
Lincoln Office or Yuba City Office
Lincoln, CA Office
898 5th street, Suite B. - Yvonne/Tuesday not accepting new clients in Lincoln at this time
Yuba City Office
1634 Poole Blvd, Suite 400. Inside Allstate office. Mon/Wed/Thurs
Choice of Counselor at Lincoln Counseling Center
Yvonne Sinclair M.A., LMFT
Tuesday-NOT accepting new clients in Lincoln
Lanee Weesner M.A., LMFT
Call for times and days
If client is a minor please state their age.
Insured persons name, if different than client
Insured person's ID number
Please provide all information in this section. I will need all to bill your insurance for you.
Name of company, authorization number, claims address, and
Insured ID number if not listed above.
Insurance Authorization Number
Claims Address for Insurance Billing, (not the one on your card)
Your best contact email address
Your best contact Phone Number
Issues to be addressed
Best time of day for appointment-
Yvonne Sinclair LMFT-Lincoln Office hours on Tuesday (not accepting new clients in Lincoln at this time)
Yvonne Sinclair LMFT-Yuba City Office hours on Monday, Wednesday, and Thursday
Lanee Weesner LMFT-Lincoln Office hours (contact her for times and days)
All prices in US Dollars
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