CLIENT FORMS
Please complete the intake form prior to your first session or plan to arrive 15 minutes early to complete these forms in the office.
If you have insurance you will also need to:
Bring your insurance card or a copy (front and back) to your first session.
Find out if your insurance covers mental health counseling by a Licensed Clinical Social Worker and if I am on your insurance panel. If not your insurance may only pay a portion of the bill or not at all. You will be responsible to pay all fees not covered by your insurance.
Obtain an insurance form, if required. Fill out and sign your portion.
Determine your copay amount. Payment is expected at the time of service.
Determine if you have a deductible and if so, how much. If there is a deductible you will be expected to pay for each session in full until your deductible is met.
If someone else is paying for your sessions you will need to fill out and sign a release form indicating the person's name, address, phone number and the amount they have committed to pay.