Cindy Gonzales, VOB/Billing Manager 409-753-2675

Email: [email protected]

Please email Cindy the following information: Your name, name of client (if different from you, such as minor child), my name (therapist seeing), your home address, good return phone number, your insurance ID and your date of birth. I will then call you with the Verification of Insurance information within 2-3 business days to set up your first appointment. Please feel free to call me with any questions about this process.

Thank you, Ms. Underhill

*Patient Name: