Insurance, privacy policy, billing authorization & other forms
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:
New Clients
Also, if you are a new client, complete the following:
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: