Form Form

New Client Application Form

Please fill out this form completely. 

For information about billing your insurance for you.     


Yvonne Sinclair LMFT is not accepting any court ordered or court related clients.

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

Yuba City Office. Lincolfice Closed Office no

The Lincoln practice is not accepting new clients at this time.

If client is a minor please state their age.

Client's Name

Insured's name

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
Yvonne Sinclair LMFT-Yuba City Office hours on every other Tuesday, and Every Wednesday, and Thursday

Merchant Services
Note: All prices in US Dollars
Copyright © E.Vaughn Enterprises Lincoln, CA
Secure Checkout with Paypal