Paperwork is Now Online!Prior to your First Intake Appointment, you will be emailed and asked to complete the following:
1) Review and sign the Service Agreement 2) Set up the Patient Portal 3) Review and sign the Good Faith Estimate 4) Fill out the Intake Form 5) Sign the Payment and Insurance Information Form All forms must be completed by 9am the business day before your appointment. Those with Monday Intake Appointments must complete all forms by 9am the Friday before. This is to ensure timely processing of your information so that your clinician can focus on reviewing only relevant and pertinent information for your assessment. WE WILL RESCHEDULE YOUR INTAKE APPOINTMENT IF YOUR PAPERWORK IS NOT COMPLETED BY THE DESIGNATED TIME. |
P H O N E 219.228.7630 | Call us for FREE CONSULT
F A X 219.228.1083 M A I N O F F I C E 322 Indianapolis Blvd., Suite 105, Schererville, IN 46375 S A T E L L I T E O F F I C E 1100 S Calumet Road, Suite 3B, Chesterton, IN 46304 I N - P E R S O N Easily traveled from within the state of Indiana; south/southwest suburbs of Chicago, Illinois; and West Michigan T E L E H E A L T H Illinois, Indiana, New Mexico, and PSYPACT States |