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FREMOUWSIGLEY PSYCHOLOGICAL ASSOCIATES, LLC Independent Licensed Psychologists 1224 B Pine view Drive Telephone: (304× 5982300 Morgantown, WV 26505 Fax: (304× 5982307 CLIENT INFORMATION AND INSURANCE:

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How to fill out Fremouw-Sigley Psychological Associates PLLC:

1. Obtain the necessary forms: Start by contacting Fremouw-Sigley Psychological Associates PLLC to request the required paperwork. They will provide you with the appropriate forms that need to be filled out.
2. Read the instructions: Before beginning to fill out the forms, carefully read any instructions or guidelines provided. This will ensure that you understand what information is required and how to properly complete the documents.
3. Provide personal information: Begin by providing your personal information, such as your full name, address, phone number, and email address. This will help Fremouw-Sigley Psychological Associates PLLC to contact you and maintain accurate records.
4. Complete the medical history section: Fill out the medical history section, providing any relevant information about your health, previous diagnoses, medications, and allergies. It is crucial to be thorough and honest in providing this information as it can impact your treatment.
5. Provide insurance information: If you have health insurance coverage, you will need to enter your insurance details. This includes the name of the insurance provider, policy number, group number, and any required authorization or referrals.
6. Include emergency contact information: It is essential to provide emergency contact information in case of any unforeseen circumstances during your treatment. Include the name, relationship, phone number, and any additional details for your emergency contact person.
7. Sign and date the forms: Once you have completed all the necessary sections, carefully review the filled forms. Sign and date them where indicated, indicating your understanding and agreement with the provided information.

Who needs Fremouw-Sigley Psychological Associates PLLC:

1. Individuals seeking psychological evaluation or treatment: Fremouw-Sigley Psychological Associates PLLC is designed to provide comprehensive psychological evaluation and treatment services. If you are experiencing mental health concerns, seeking therapy, or requiring psychological assessments, you may benefit from their services.
2. Individuals with diagnosed or suspected psychological disorders: Fremouw-Sigley Psychological Associates PLLC specializes in diagnosing and treating a range of psychological disorders. If you have been diagnosed with a psychological disorder or suspect that you may be experiencing one, their expertise can be valuable in providing appropriate assessment and treatment interventions.
3. Individuals in need of expert guidance and support: Fremouw-Sigley Psychological Associates PLLC offers counseling and therapy services, providing individuals with a safe space to explore and address their psychological concerns. Whether you are dealing with relationship issues, stress, grief, or any other emotional challenge, their team can offer guidance, support, and effective intervention strategies.

Remember, it is essential to consult with a mental health professional or contact Fremouw-Sigley Psychological Associates PLLC directly for specific information tailored to your unique situation.

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Fremouw-Sigley Psychological Associates PLLC is a mental health practice offering various psychological services.

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The owners or partners of Fremouw-Sigley Psychological Associates PLLC are required to file.

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The purpose of Fremouw-Sigley Psychological Associates PLLC is to provide mental health services to individuals in need.

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