New Client Application Form
Please fill out this form completely.
For information 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.
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
Lincoln, CA Office
898 5th street, Suite B. - Wait list only at this time. Every other Tuesday,
Yuba City, CA office
1634 Poole Blvd. #400 Allstate office),Wait list only at this time. Every other Tuesday,
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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