NEW CLIENT INFORMATION

Please complete these forms and bring them to your first appointment:
Client Information English or Spanish
Payment Information
Release of Information
Service Agreement English or Spanish
Acuerdo de Servicios al Cliente (Spanish)
Autorizo a que se libere mi información confidencial (Spanish)

Forms for your information only– please do not bring to your appointment:
Frequently Asked Questions About Therapy
Getting The Most From Your Therapy Sessions
Your Health Information Privacy Rights (English)
Informacion sobre su salud: Derecho a la confidencialidad (Spanish)

INSURANCE:
At Achievebalance.org© there are several therapists available to help you. Our therapists are out-of-network providers so please check your mental or behavioral health benefits for reimbursement information before you make an appointment. All fees must be paid at the time services are rendered and we will provide you with paperwork so that you can file for reimbursement if you choose.

COST:
Therapist Interns and Associates hold a master's or doctoral degree in counseling or related field and are accruing hours toward licensure. They have extensive experience working with couples, individuals, and children. Interns and Associates are able to offer their services at a rate of $65 per hour, much lower than many behavioral health plan co-pays.

Licensed Professional Counselors and Licensed Marriage and Family Therapists at Achievebalance.org© charge different amounts for their services so please contact each individually for cost information »