top of page
Chris Cochran, EdD, LMHC
Carrie Cochran, MA, LMHCA
Client Forms
New Clients: Please print and complete Intake Forms and bring them to your initial session.
Prestige Medical Billing processes our insurance billing and forms listed under their name are available if needed. If your child is the client and is 13 yrs or older, Prestige will require a completed PMB Release of Billing Info in order to share any financial information with you.
​
Carrie Cochran or Chris Cochran
Intake Forms for Carrie Cochran (8p)
Intake Forms for Chris Cochran (8p)
Release of Information (1p)
Prestige Medical Billing (PMB)
PMB Release of Billing Info
PMB Initial Insurance Info Form
PMB Request for Email Statements
To receive an insurance quote from Prestige Medical Billing, visit their website at:
bottom of page