During this time of uncertainty, we are here to help you and your family through a telehealth visit! Contact us to learn more and schedule an appointment with a provider
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Tompkins and Associates

Tompkins and Associates

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  • Staff
    • Denise Tompkins, Psy.D.
    • Anna Hammond, Psy.D.
    • Yvette Gonzalez, Ph.D.
    • Amy Bergholtz, Psy.D.
    • Jaclyn Hoffmeister, Psy.D., NCSP
    • Kaylee Frederick, Psy.D., NCSP
    • Alexis Rodriguez, LSW
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New Client Information Sheet - Minor

  • Minor's Information

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  • Insurance Information

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  • I hereby acknowledge that I received an explanation of Dr. Tompkins’ Psy.D. & Associates business practices. I hereby authorize my insurance benefits to be paid directly to Denise Tompkins, Psy.D. & Associates and I hereby authorize the release any information acquired in the course of treatment that is necessary to process insurance claims. I understand that I am responsible for all charges not paid by my insurance. I also agree to pay all collection agency fees should I default in payment.

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Tompkins and Associates

1801 N. Mill Street
Suite C
Naperville, Illinois 60563
Fax: (630) 445-4072

(630) 717-5911 – option 0

 

All Rights Reserved. 2018.

During this time of uncertainty, we are here to help you and your family through a telehealth visit! Contact us to learn more and schedule an appointment with a provider.

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