New Patient Form
First Session Information & Important Paperwork
Because counseling involves a professional relationship, we need to agree on the terms of our work together. Please complete a New Client Form, Child or Adult Form (if applicable), Communication Agreement Form, Consent & Confidentiality Agreement, Communication Agreement, Consent for Telepsychology, Credit Authorization Form & Late Cancellation/Missed Appointment Policy Form. Please provide your photo identification and health insurance card when presenting the forms. If you have any questions and require clarification, please be sure to ask us.
Prior to your Appointment
Be sure to call the toll free number on the back of your health insurance card to find out if your plan includes mental health benefits. If mental health benefits are covered, ask for the following information:
Number of sessions covered per benefit period
Amount of the deductible and co-pay
Authorization needed for your appointment
After you’ve completed your New Intake Forms, please submit them to schedule your appointment. You will need to bring your health insurance card and photo identification as well.