Patient Forms

We use TherapyPortal.com to streamline the process of completing intake forms. If you need your password reset to access the portal, please call our office for assistance.

* If you prefer to complete your forms in person, please arrive 20 minutes early to your appointment to ensure you have enough time.

• Do I have behavioral/mental health coverage? 
• How many outpatient psychotherapy sessions are allotted in my plan? 
• Are there any limitations, requirements, or restrictions in accessing my plan?

Additional Questions:

• Do I need a referral from my Primary Care Physician? 
• Do I need to have pre-authorization from my insurance company? 
• Is my therapist in your network? If not, what are my out-of-network benefits? 
• Are there only certain kinds of therapists allowed on my plan? (psychiatrist, psychologist, licensed mental health counselor)? 
• What is the effective date of my insurance coverage? 
• What is the amount of my deductible, co-pay, and/or co-insurance amounts after insurance adjustment is applied?