Complete the Intake Paperwork below and email back to hr@faithisallyouneed.net

Tricare, ECHO, Pilot Intake for Active Duty Military and Retired

Other Insurance Carrier or Pay-out-of Pocket client Intake

Please find a copy of our Patients Rights and Responisbilities below

 Patient Rights and Responsibilities

 Tricare Cost Shares

Cancellation Policy

If you should experience difficulties downloading our intake form or emailing it back, please contact us and we can mail a copy or provide one upon the initial intake meeting.

Don't delay on getting services started for your loved one!