New Patient Forms
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 in order to schedule your appointment. You will need to bring your health insurance card and photo identification as well.
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 Intake Form (if applicable), Communications Agreement, Consent & Confidentiality Agreement, Credit Card Authorization Form & Late Cancellation/Missed Appointment Policy and bring the forms in to our office at your first appointment or email the forms. Please provide your photo identification and health insurance card when presenting the forms. If you have any questions and/or require clarification, please be sure to ask us.
What to Expect at Your First Appointment
Regardless of the type of service, your first appointment is a time to meet with your treatment provider and discuss your concerns. The first appointment is a time for a thorough evaluation and you will likely be asked a good deal of factual information about yourself. This might include things like the reason you’re seeking treatment, what your symptoms are, history of past problems and treatment, medical history, past use of drugs and alcohol, and how some of the important areas in your life are going (work, family, hobbies, etc.). This is also a time for you to evaluate your treatment provider in order to ensure that you feel comfortable with the person and the setting.
Late Cancellation/ Missed Appointment Policy
Our current late cancellation/missed appointment policy is unique to psychotherapy practices. We ask that you read it and consider it carefully to reduce the chance of misunderstandings that may hinder your progress in therapy.
Download for your Reference
If you would like to participate in school-based counseling services, complete both forms and submit a copy of the forms to our office and to the client's school for their records.