Form Form

New Client Application Form

Please fill out this form completely. 



Billing your insurance for you. For information CLICK HERE





Yvonne Sinclair LMFT is not accepting any court ordered clients. 

If a court report or court appearance may be requested, please let me help you find a different therapist. 





Lincoln Office or Yuba City Office

Client's Name




Insured's name


If client is a minor please state their age.


Insurance ID number


Name of Insurance


For Optum and Anthem clients-Claims address

Billing your insurance for you. For information CLICK HERE


For Optum and Anthem clients-Authorization number


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 every other Tuesday (accepting limited number of new clients in Lincoln at this time)
Yvonne Sinclair LMFT-Yuba City Office hours on every other Tuesday, and Every Wednesday, and Thursday




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Note: All prices in US Dollars
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