While we try to keep our forms to a minimum, for your convenience, here are our standard forms that you might find helpful to review before, rather than during your first appointment.
HIPAA Privacy Practices
Consent Relationship Counseling
|File Size:||120 kb|
INSURANCE Our in network contracts include Anthem, Med Mutual, Cigna, TriCare/Humana Military, Aetna, CareSource, Medicaid, Buckeye, and Medicare*. Other insurance plans are accepted on an out-of-network basis. We also accept self-pay. Our fee schedule can be found on the Intake Forms page. (*Medicare insurance holders may be limited to those clinicians that are eligible to bill Medicare. Please ask before scheduling an appointment if your therapist is credentialed with your insurance.)