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Registration Packs
Both Packs are required for your first appointment.
After you have downloaded and completed these interactive forms on-screen, please print and bring them to your first session.
After you have downloaded, printed and completed these forms, please bring them to your first session.
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We accept self, school, insurance and physician referrals. We also work with the following Managed Care companies:
- » Aetna PPO
- » Blue Cross/Blue Shield (BC/BS)
- » ChoiceCare/Humana PPO
- » CorpHealth
- » CIGNA
- » ComPsych
- » HFN
- » Humana PPO
- » Integrated Health Plan
- » LifeSynch
- » Magellan Behavioral Health
- » Managed Health Network
- » Multiplan
- » Private Health Care Systems
- » UniCare PPO
- » United HealthCare
- » ValueOptions
It is the patient’s responsibility to contact your insurance provider to determine what your mental health eligibility & benefits are prior to your first appointment. Any co-pays and/or deductibles are due at the time of service. We are happy to accept Cash, Checks and Credit Cards (Visa, Mastercard, American Express & Discover) at our office.
Sliding scale fees may be available. Please feel free to discuss it directly with your Therapist. If you have any billing inquiries, please contact MedOptions at 847-458-1253.