Intake Forms

USING INSURANCE TO HELP PAY FOR COUNSELING?

Questions to Ask Your Insurance Provider

Concerning Mental Health Benefits
*Do I have behavioral/mental health coverage?
*How many outpatient psychotherapy sessions am I allotted in my plan?
*Are there any limitations, requirements, or restrictions in accessing my plan?

Additional questions for more detail:
Do I need a referral from my Primary Care Physician?
Do I need to have pre-authorization from my insurance company?
Is my therapist in your network? If not, what are my out-of-network benefits?
Am I authorized to see only a particular kind of therapist? (psychiatrist, psychologist, licensed mental health counselor, licensed marriage and family therapist, licensed clinical social worker, etc.)?
What is the effective date of my insurance coverage?
Am I limited to a dollar amount per year ($500, $250 etc.) that will be covered?
What is the amount of my deductible, co-pay, and co-insurance amounts after insurance adjustment is applied?

INTAKE FORMS

Before your intake appointment, all clients must complete intake paperwork. These forms are shared and completed virtually using our Client Portal.

Intake forms

Authorization Forms

USING INSURANCE TO HELP PAY FOR COUNSELING?

Questions to Ask Your Insurance Provider

INTAKE FORMS

Before your intake appointment, all clients must complete intake paperwork. These forms are shared and completed virtually using our Client Portal.

Intake forms

Authorization Forms

USING INSURANCE TO HELP PAY FOR COUNSELING?

Questions to Ask Your Insurance Provider

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