You may complete these online Registration and Informed Consent Forms. After completing the form, please save a copy for your records and return the completed form via email to george@georgelimberakis.com

Also, send a copy or picture of front and back of your insurance card. There are often dedicated phone numbers and a billing address for your particular group that will make it easier for me to process your claim.  You may text that to 801-680-5450, if that’s easier.  If you send copy of your card, there is no need to fill in the insurance information on the Registration Form.

See Insurance Information for a suggested list of questions to ask your insurance company before your first session.

You may review information regarding your privacy rights (HIPAA) here. 

Some questions to ponder before your first session:

• What issues or problems have presented in your life for which you are seeking counseling now?
• What would you like to accomplish through counseling?