Michael Kaplan, LCSW, LLC
414 E. Broadway, Suite 201
Columbia, MO 65201
Now accepting Aetna, Anthem/BlueCross/Blue Shield, United Healthcare (University of Missouri), MH Net, HealthLink and Tricare (military and veterans) insurance. Sliding-scale rate also available.
Forms for New Clients
Please print and complete each of the following forms, and bring them with you to your first session. This will help us to spend more time on you, and less time on paperwork. These are pdf files requiring Adobe Acrobat Reader.
Forms for adults ages 18 and up
Client Information Sheet - Adult
Policies and Informed Consent
Notice of Privacy Practices
Forms for children under age 18, to be completed by a parent or guardian
Client Information Sheet - Child
Policies and Informed Consent
Notice of Privacy Practices