Insurance & Forms
Most major insurance is accepted, including Aetna, Anthem Blue Cross and Blue Shield, Optima, Southern Health/Coventry, United Behavioral Health, and Value Options.
Sessions are billed at the rate of $75 for a 50 minute session.
Payments (including insurance co-pays) may be made either at each session or by statement at the end of the month. Cash, check, and major credit cards are accepted.
Forms:
Client Information: Available here as an online fillable form. Please type in your information, print, and bring with you to your first appointment. |
Client Information - Fillable |
Client Information: Alternate nonfillable form. Please print, complete by hand, and bring with you to your first appointment. |
Client Information - Nonfillable |
Initial Evaluation of Needs: Includes Informed Consent. Please print, complete, and bring with you to your first appointment. |
Evaluation and Consent to Treat |
Email Request: For communicating electronically regarding administrative matters. Please print, complete, and bring with you to your first appointment. (optional) |
Email Request |
Information for prospective clients: Practice policies for your review. |
Prospective Client Information |