BEFORE WE MEET
If you are a new client, please complete the following forms and bring them to your first session:
If you are a new client, please complete the following forms and bring them to your first session:
Insurance InformationIf you plan on using your BC/BS insurance, I will need the Insurance Information form completed before our first session so that I can verify your benefits. Experience has taught me to verify benefits before the first session to avoid any “surprises” (some policies don’t cover marital therapy, some policies have different co-pays/co-insurance amounts for mental health than for medical health, some policies are contracted out to insurance companies that I am not contracted with, etc…), which can unnecessarily complicate things and take the focus off of treatment and instead put in on financial matters.
Insurance Information
If you plan on using your BC/BS insurance, I will need the Insurance Information form completed before our first session so that I can verify your benefits. Experience has taught me to verify benefits before the first session to avoid any “surprises” (some policies don’t cover marital therapy, some policies have different co-pays/co-insurance amounts for mental health than for medical health, some policies are contracted out to insurance companies that I am not contracted with, etc…), which can unnecessarily complicate things and take the focus off of treatment and instead put in on financial matters.
Basic InformationIf you do not plan on using insurance, please complete the Basic Information form.
Basic Information
If you do not plan on using insurance, please complete the Basic Information form.
Consent to Release FormIf you have other mental health care/physical care providers (such as a psychiatrist, primary care physician, etc…) that you would like me to coordinate care with, please complete this form.
Consent to Release Form
If you have other mental health care/physical care providers (such as a psychiatrist, primary care physician, etc…) that you would like me to coordinate care with, please complete this form.
Questionnaire This is a questionnaire that, while lengthy, will save us 4-5 sessions of my asking you all of these questions. If there is anything that you are uncomfortable answering, please feel free to leave it blank.
Questionnaire
This is a questionnaire that, while lengthy, will save us 4-5 sessions of my asking you all of these questions. If there is anything that you are uncomfortable answering, please feel free to leave it blank.
Social Media Form This document outlines my office policies related to use of Social Media.
Social Media Form
This document outlines my office policies related to use of Social Media.
Services Agreement
Services Agreement
Credit Card Form
Credit Card Form
Consent for Teletherapy
Consent for Teletherapy
Consent for Returning to In-Person Therapy
Consent for Returning to In-Person Therapy