Form Form

New Client Application Form

Please fill out this form completely. 

For information about billing your insurance for you.     CLICK HERE

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. 

Lincoln Office or Yuba City Office

This practice is full and not accepting new clients on a regular basis. If you would like to be placed on a wait list and notified when an appointment meeting your needs is available, choose the office you prefer and fill out the form below. Thanks

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

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