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Insurance, privacy policy, billing authorization & other forms


Complete all forms in advance and bring them with you to your first scheduled session. You can download Adobe Acrobat Reader for free here.

Health Care Policy Benefits

To determine the mental health benefits and policy limits under your plan or if Dr. Tangen is an in network provider, fill out the benefits questionnaire and payment agreement below:

  1. Health Care Plan Benefits & Payment Agreement

Authorization for Disclosure

 If you would like Dr. Tangen to coordinate care with any of your providers (for example, your psychiatrist or primary care physician), fill out the authorization below:

  1. Authorization to Disclose Information