Insurance Information and Intake Forms

Client Intake Forms

The following forms are here to help you get started. Please download, print & complete all applicable forms prior to your first appointment and bring them with you to your session. I look forward to working with you and your loved ones.

Tammy L. Sausa, LCSW
- Licensed Psychotherapist -
132 Midland Avenue Suite A
Garfield, NJ 07026
Telephone: 973-340-1500
tammysausa@atherapylifecenter.com

INSURANCE ACCEPTED:
Horizon Blue Cross Blue Shield,
United Health Care, Cigna and CHN
Questions? Send Me a Message