Skip to primary content

Barbara Keyworth, LCSW

Barbara Keyworth, LCSW

Main menu

  • Home
  • Therapy Services
  • Directions
  • Forms
  • Insurance
  • Qualifications
  • Blog

Forms

Please print, read, and bring these forms in to your first appointment.  (Note: under the insurance section, you do not need to fill in numbers since I will copy your card at the office)

Client Information Form

Office Policies and Procedures

Privacy Policy

Telehealth Policy Form

Credit Card Authorization Form

Uninsured and self-pay clients only:
Good Faith Estimate

Contact Info


Telephone

(919) 783-8004

Fax

(919) 786-0604

Contact Info


Address

4601 Lake Boone Trail
Suite 2C
Raleigh, NC 27607

Photos © 2025 Barbara Keyworth Admin