New Client Form
New counseling clients are asked to arrive fifteen minutes before their scheduled counseling appointment time in order to fill out the initial paperwork. Alternatively, you may print this New Counseling Client Form, fill it out in advance, and bring it with you to the counseling session. In this case, you only need to arrive five minutes prior to your scheduled time for your first counseling session.
Insurance Verification Form
If you are interested in using insurance benefits for your counseling sessions, please fill out this Counseling Insurance Verification Form and return it prior to your first counseling session. You may fax it to 913-492-2745, or email it firstname.lastname@example.org. We will then be able to verify your benefits and advise you on payment options and how we can work with your insurance plan.