Paperwork:

Paperwork for Sliding Scale:

Paperwork for Self-Pay:

International Forms:

Organizational Forms:

Paperwork for Medicaid:

Paperwork for Medicare:

Paperwork for Supervision:

Release of Information Forms:

Treatment Center Forms:

Paperwork:

Paperwork for Medicaid:

Paperwork for Medicare:

Paperwork for Sliding Scale:

Paperwork for Self-Pay:

Paperwork for Supervision:

International Forms:

Release of Information Forms:

Organizational Forms:

Marcia Herrin is licensed or can practice as a registered dietitian in CA, CO, FL, MA, NH, NJ, NY, PA, TX, VA, VT and WY. Florida requires that the link to the Florida Department of Health is posted here: www.flhealthsource.gov/telehealth/