Contact me via email at therapy@amberkerby.com to schedule an appointment.

 

Once you schedule an appointment, please create a Client Portal to access all of the required forms:

 https://alkerby.mytherabook.com/account/signup

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This website is HIPAA-compliant and accepts a digital signature. 

All forms must be completed before the initial meeting.

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REFERRAL FORMS FOR KETAMINE ASSISTED PSYCHOTHERAPY (KAP)

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If you are a provider and are referring a current patient:  Referral Form from Provider

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If you do not have a provider and are referring yourself:  Referral Form from Self

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INSURANCE

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Iowa

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United Healthcare

Wellmark Blue Cross Blue Shield

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New Hampshire

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Anthem Blue Cross Blue Shield

Tufts/Optum/UHC plans

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For all other insurance plans, I can assist you in accessing out-of-network benefits. Please contact me for more information.

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