Form Form

New Client Application Form


During this time of quaranteen the Yuba City office is closed.

TeleCounseling is offered, see the page on the navigation list.



Please fill out this form completely. 


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/TeleCounseling

Accepting Anthem, United Behavioral Health, and Optum Insurance

Client's Name




If client is a minor please state their age.


Insured's name


Insurance Member ID number


Name of Insurance


Claims address

Where to send the bill for your session if you want our office to bill for you. Claims address For Optum, UBH, and Anthem clients-


Authorization number

For Optum, UBH, and Anthem clients

Your best contact email address


Mailing Address

Full mailing address for documents

Your best contact Phone Number


Issues to be addressed


Best time of day for appointment-


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



TeleCounseling

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Note: All prices in US Dollars
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