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We're pleased to announce that we are now in-network with Penn Behavioral Health. close

Marriage and Family Resource Center (MFRC) of Pennsylvania

  • Staff
    • Dr. Joan A. Feinstein, PhD, JD
    • Donald Burstein, Ph.D.
    • Kulbir (Kolby) Rangi
  • FAQ
    • Social Security Disability
  • Forms
    • Privacy Form
    • Intake Form
  • Office Policies
  • Contact

Forms

Privacy Practices

The Marriage and Family Resource Center Privacy Practice form describes how medical information about you may or may not be used and disclosed, and how you can get access to this information. Please review it carefully, sign it, and present it at your first appointment.
Download the Privacy Practices Form

Release Form

The Release Form provides authorization to The Marriage and Family Resource Center to release records to designated third parties such as other doctors, attorneys and spouses. In short, MRC will keep your records, but you have the power to decide where the information goes. Please review it carefully, sign it, and present it at your first appointment.

Intake Form

The intake form is the initial application required to be treated at the Marriage and Family Resource Center. Please download, review it carefully and fill it out completely prior to your first appointment.
Download the Intake Form

Insurance Claim Form

An insurance claim is the actual application for benefits provided by an insurance company. Policy holders must first file an insurance claim before any money can be disbursed to the Marriage and Family Resource Center or other contracted service. The insurance company may or may not approve the claim, based on their own assessment of the circumstances.

Payment Options:

Secure Payment using Paypal
The Marriage and Family Resource Center (MFRC) accepts the following payment options at the time of your visit:

1. Credit/debit cards
2. Check
3. Money orders
4. Cash
5. Online payment via PayPal

In Network With: Penn Behavioral Health, Magellan, Aetna, AmeriHealth, Cigna, Highmark Blue Shield, Independence Blue Cross, Keystone Health Plan East, Personal Choice, Medicare, United Health Care (UHC), United Behavioral Health (UBH),

Marriage And Family Resource Center (MFRC) of Pennsylvania:

94 Rolling Hills Drive
Holland, PA 18966
Phone: (215) 497-0574

Additional branch locations:
95 Almshouse Road, Suite 301
Richboro, PA 18954

2346 Trenton Road Suite E
Levittown, PA 19056

About MFRC

MFRC director Joan Aimee Feinstein, brings a unique perspective to problems; she is both a doctoral level psychologist and an attorney. From psychological problems to financial problems, Joan and the dedicated therapists and attorneys at the Marriage and Family Resource Center can help you. Email us today to set up your consultation!

The Marriage and Family Resource Center (MFRC) of Pennsylvania

94 Rolling Hills Drive Holland, PA 18966
Phone: (215) 497-0574 | Email: info@mfrc-pa.com

Additional branch locations:
• 95 Almshouse Road Suite 301 Richboro, PA 18954
• 2346 Trenton Road Suite E Levittown, PA 19056

In Network with:

Penn Behavioral Health, Magellan, Aetna, AmeriHealth, Cigna, Highmark Blue Shield, Independence Blue Cross, Keystone Health Plan East, Personal Choice, Medicare, United Health Care (UHC) / United Behavioral Health (UBH).

Out of Network (OON) with all other plans. Some of the plans we are OON with do have OON benefits. Check with you insurance company or with the HR representative at work for more detailed information for OON benefits.

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