Releases of Information

• Please review and sign any applicable Releases of Information below if you wish for me to submit claims to insurance or send statements to a second party.
  

Checklist for Forms

• Please utilize this list to ensure that all forms are submitted to me prior to your appointment.
  

Fees

Gayle M. Robbins, Ph.D.

Please submit all paperwork AT LEAST two days prior to your first appointment. Failure to do so will result in rescheduling, as I will need to verify your insurance benefits before the intake.

Please remember that YOU ARE RESPONSIBLE FOR ALL FEES that insurance will not cover.

Thank you!

Notification of Policies

• Please carefully review all policies and procedures and complete the required consent forms. 
  

New and Returning Patient Forms

Phone: 706.621.3033

1160 S. Milledge Avenue, Suite 240

Athens, GA 30605

Now Accepting:

Blue Cross Blue Shield

  Licensed Clinical Psychologist & Psychotherapist