YOUR INSURANCE COMPANY. By using insurance, I am required to give a mental health disorder diagnosis that goes in your medical record. The clinical diagnosis is based on your current symptoms even though you may have been previously diagnosed. We will discuss your diagnosis during session. Your insurance company will know the times and dates of services provided. They may request further information to authorize additional services regarding treatment. IMPORTANT: Some psychiatric diagnoses are not eligible for reimbursement (ie: marriage/couples therapy). In the event of non-coverage or denial of payment, you will be responsible to pay for services provided. Xxxxxxxx Xxxxxx LCSW-C LLC reserves the right to seek payment of unpaid balances by collection agency or legal recourse after reasonable notice to the client. PRE-AUTHORIZATION & REDUCED CONFIDENTIALITY: When visits are authorized, usually only a few sessions are granted at a time. When these sessions are complete, we may need to justify the need for continued service, potentially causing a delay in treatment. If insurance is requesting information for continued services, confidentiality cannot be guaranteed. Sometimes, additional sessions are not authorized, leading to an end of the therapeutic relationship even if therapeutic goals are not met.
YOUR INSURANCE COMPANY. By using insurance I am required to give you a mental health disorder diagnosis that goes on your medical record. I am not required to tell you what I am diagnosing you with but as best practice it is my policy that we collaborate on this information. You may have had a previous diagnosis from another treatment provider. After my assessment, if I clinically determine that you have the same diagnosis, I will use that diagnosis. If I assess you and clinically determine otherwise, I will discuss that information with you before providing you with either a new diagnosis or secondary diagnosis. It is also important to note that some psychiatric diagnoses are not even eligible for reimbursement. This is often true for marriage/couples and family therapy as well. In the event of non-coverage or denial of payment, you will be responsible to pay for such services. In the event of non-payment by you, Mantra Counseling, LLC (Xxx Xxxxx) reserves the right to seek payment of unpaid balances by collection agency or legal recourse after reasonable notice to you. Your insurance company will also know the times and dates of services provided. At times insurance companies may request further information to authorize further services regarding your treatment.
YOUR INSURANCE COMPANY. By using insurance I am required to give you a mental health diagnosis that goes on your medical record. I am not required to tell you what I am diagnosing you with, but as best practice it is my policy that we collaborate on this information. You may have had a previous diagnosis from another treatment provider. After my assessment, if I clinically determine that you have the same diagnosis, I will use that diagnosis. If I asses you and clinically determine otherwise, I will discuss that information with you before providing you with either a new diagnosis or secondary diagnosis. It is important to note that some psychiatric diagnoses are not even eligible for reimbursement. This is often true for marriage/couples and family therapy as well. In the event of non-coverage or denial of payment, you will be responsible to pay for such services should you choose to receive them. In the event of nonpayment by you, Psychology Support Center reserves the right to seek payment of unpaid balances by collection agency or legal recourse after reasonable notice to you. Your insurance company will also know the times and dates of services provided. At times, insurance companies may request further information to authorize further service regarding your treatment.
YOUR INSURANCE COMPANY. By using insurance, I am required to give you a mental health disorder diagnosis that goes on your medical record. I am not required to tell you the diagnosis, but as best practice, it is my policy that we collaborate on this information. You may have had a previous diagnosis from another treatment provider. After my assessment, if I clinically determine that you have the same diagnosis, I will use that diagnosis. If I assess you and clinically determine otherwise, I will discuss that information with you before providing you with either a new diagnosis or secondary diagnosis. Your insurance company will know the times and dates of services provided. They may request further information to authorize additional services regarding your treatment. It is also important to note that some psychiatric diagnoses are not eligible for reimbursement. This is often true for marriage/couples therapy. In the event of non-coverage or denial of payment, you will be responsible to pay for such services. Advent Counseling and Training Services Inc. reserves the right to seek payment of unpaid balances by collection agency or legal recourse after reasonable notice to you.
YOUR INSURANCE COMPANY. By using insurance, I am required to give a mental health disorder diagnosis that goes in your medical record. The clinical diagnosis is based on your current symptoms even though you may have been previously diagnosed. We will discuss your diagnosis during session. Your insurance company will know the times and dates of services provided. They may request further information to authorize additional services regarding treatment. IMPORTANT: Some psychiatric diagnoses are not eligible for reimbursement (ie: marriage/couples therapy). In the event of non-coverage or denial of payment, you will be responsible to pay for services provided. Xxxxxxx Xxxxx, LMFT of Xxxxxxx Xxxxx Counseling reserves the right to seek payment of unpaid balances by collection agency or legal recourse after reasonable notice to the client.
YOUR INSURANCE COMPANY. By using insurance, I am required to give you a mental health disorder diagnosis that goes on your medical record. I am not required to tell you the diagnosis, but as best practice, it is my policy that we collaborate on this information. You may have had a previous diagnosis from another treatment provider. After my assessment, if I clinically determine that you have the same diagnosis, I will use that diagnosis. If I assess you and clinically determine otherwise, I will discuss that information with you before providing you with either a new diagnosis or secondary diagnosis. Your insurance company will know the times and dates of services provided. They may request further information to authorize additional services regarding your treatment.
YOUR INSURANCE COMPANY. By using insurance, I am required to give a mental health disorder diagnosis that goes in your medical record. The clinical diagnosis is based on your current symptoms even though you may have been previously diagnosed. We will discuss your diagnosis during session. Your insurance company will know the times and dates of services provided. They may request further information to authorize additional services regarding treatment. IMPORTANT: Some psychiatric diagnoses are not eligible for reimbursement (ie: marriage/couples therapy). In the event of non-coverage or denial of payment, you will be responsible to pay for services provided. Your counselor at ReVision Counseling reserves the right to seek payment of unpaid balances by collection agency or legal recourse after reasonable notice to the client.
YOUR INSURANCE COMPANY. By using insurance, I am required to give a mental health disorder diagnosis that goes in your medical record. The clinical diagnosis is based on your current symptoms even though you may have been previously diagnosed. We will discuss your diagnosis during session. Your insurance company will know the times and dates of services provided. They may request further information to authorize additional services regarding treatment. IMPORTANT: Some psychiatric diagnoses are not eligible for reimbursement (ie: marriage/couples therapy). In the event of non-coverage or denial of payment, you will be responsible to pay for services provided. Serenity Healing Psychotherapy Services reserves the right to seek payment of unpaid balances by collection agency or legal recourse after reasonable notice to the client.
YOUR INSURANCE COMPANY. By using insurance, I am required to give a mental health disorder diagnosis that goes in your medical record. The clinical diagnosis is based on your current symptoms even though you may have been previously diagnosed. We will discuss your diagnosis during session. Your insurance company will know the times and dates of services provided. They may request further information to authorize additional services regarding treatment. IMPORTANT: Some psychiatric diagnoses are not eligible for reimbursement (ie: marriage/couples therapy). In the event of non-coverage or denial of payment, you will be responsible to pay for services provided. Courage Counseling L.L.C. reserves the right to seek payment of unpaid balances by collection agency or legal recourse after reasonable notice to the client. EMERGENCY CONTACT: It is necessary that Courage Counseling L.L.C. has someone to contact on your behalf. In case of an emergency who should we contact? Full Name Relationship Phone Number(s) Please check here that you agree and sign below. Thank-you. ☐ I agree to allow Courage Counseling L.L.C. to contact my emergency contact on my behalf in the case of emergency Signature Date
YOUR INSURANCE COMPANY. By using insurance I am required to give you a mental health disorder diagnosis that goes on your medical record. I am not required to tell you what I am diagnosing you with but as best practice it is my policy that we collaborate on this information. You may have had a previous diagnosis from another treatment provider. After my assessment, if I clinically determine that you have the same diagnosis I will use that diagnosis. If I assess you and clinically determine otherwise I will discuss that information with you before providing you with either a new diagnosis or secondary diagnosis. It is also important to note that some psychiatric diagnoses are not even eligible for reimbursement. This is often true for marriage/couples and family therapy as well. In the event of non-coverage or denial of payment, you will be responsible to pay for such services. In the event of non-payment by you, Caring Therapists of Broward & Palm Beach reserves the right to seek payment of unpaid balances by collection agency or legal recourse after reasonable notice to you. Your insurance company will also know the times and dates of services provided. At times insurance companies may request further information to authorize further services regarding your treatment.
