CONTACT
Please review and submit a) and b) for your first appointment.
a) Client Information
b) Client Signature
c) Office Policy & Fee Structure
d) Privacy Notice
Currently, we accept the following plans:
a) KGA-EAP
b) PSD-EAS
c) Medicare (Not Medicare Advantage)
Please bring your medical insurance card to the first appointment if applicable. For those with out-of-network benefits, a superbill will be issued for you to submit for reimbursement.
Phone: (970) 481-7397
Fax: (970) 237-3036
Email: polingchan@mail.com
Address: 109 Coronado Court, Building 7, Fort Collins, CO 80525
