New Client Forms & FAQs.

Welcome to my practice!

I’m looking forward to working together. There are two steps for you to complete before our first session.

 

1) Download & Fill Out Forms.

Use the links below to print, fill out and sign the intake and practice policy forms.

2) Send them securely.

You can choose to either mail your forms to me, or use my secure HIPAA-Compliant email address: deb@curtiscounselingllc.com

Download intake form.

 

Download policy form.

 

FAQs

 

Do you accept insurance?

I’m not currently on any insurance panels. I am considered an “out-of-network provider.” That means that if your mental health benefits include out-of-network coverage, you may get reimbursed for all or some of my services. I am happy to provide you with a reimbursement form to submit to your insurance carrier.

How do I know if I have out-of-network benefits?

I would suggest calling your insurance company to find out if you have out-of-network coverage. If you do, some other good questions include:

  • Do I have to meet a deductible before my benefits kick in?

  • Is there a limit to my coverage?

  • What documentation is needed and how can I submit it?

What forms of payment do you accept?

I currently accept most payments via credit card online due to the pandemic. I accept Flex Spending or Health Savings Cards. I can also accept personal checks.