The Aleph Center, PLLC
Wholistic Mental Health Care

6408 E Tanque Verde Road,

Tucson, Arizona 85718-3809
Phone: (520)-885-5558
Fax: (520)-885-5559

New Patient Information


To save time and get the most from your first appointment, download and fill out the attachments below:

 

The information here will help your provider get to know you better.  We do not have you fill this out 


online like some websites to protect your personal and health information. 

 

    Intake -  Please fill out to the best of your ability.

 

    Financial Agreement - This explains our fees and financial policies. 

    

 

    Patient Privacy Policy  Please read, sign and date. 

 

    Patient Face Sheet - Please fill this out.  This is basic information about you, who referred you, your insurance etc.


IF YOU ARE SEEING DR KANE, CLICK HERE FOR ONE PDF FILE, it contains all her intake forms in one packet.