Consent to speak with your insurance company:
It is required that if I accept insurance for me to provide them with your records upon request. Please complete your information below in order to electronically sign consent for me to speak with your insurance company. Please note that refusal to complete this form will negate my ability to accept your insurance and begin treatment with you.
By completing the information below, I acknowledge that I give consent for Victoria OShea, LMHC, LPC, CASAC to speak to my insurance company and to exchange my information with them as necessary.