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    • Home
    • About Me
    • Services
    • Insurance and Forms
    • Contact
  • Home
  • About Me
  • Services
  • Insurance and Forms
  • Contact

Susan Kotulsky, MA
Licensed Marriage and Family Therapist

Susan Kotulsky, MA Licensed Marriage and Family Therapist Susan Kotulsky, MA Licensed Marriage and Family Therapist Susan Kotulsky, MA Licensed Marriage and Family Therapist

Supporting Your Well-Being

Supporting Your Well-BeingSupporting Your Well-BeingSupporting Your Well-Being

Insurance and Forms

In Network Services are provided for the following insurance plans

  • Aetna
  • Anthem of CT
  • Cigna
  • Connecticare
  • Medicaid, Husky A, B, C and D
  • Oxford
  • Unitedhealth Care

Preparing for your first session

Please bring the forms downloaded and completed below with

  • Your Insurance card
  • An ID, and 
  • Your Copay


Download Forms for First Session

Client Intake Form (pdf)

Download

Telemedicine Informed Consent (pdf)

Download

Release (pdf)

Download

Informed Consent (pdf)

Download

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