New Client Application Form
Please fill out this form completely.
For information about b
illing 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.
Lincoln, CA Office
898 5th street, Suite B. not accepting new clients at this time
Yuba City, CA office
1634 Poole Blvd. #400 Allstate office)Tuesday,Wednesday,Thursday
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
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
All prices in US Dollars
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