Intake, Forms, Fees & PRIVACY
Information to take the next steps on your mental health journey.
Intake Appointment
If you are interested in receiving services, an intake appointment is required to gather information about you and your concerns before we decide to establish a professional relationship. To schedule an intake assessment session, email us at info@claritypsychological.com to start the process. Click below for more information.
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Forms
Prior to your intake session, you will need to complete several key intake forms and agreements, such as a background questionnaire, a consent for services, acknowledgement of practice policies, procedures and fees, and other disclosures as mandated by law. Click below for more information.
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Fees
Please contact us for a list of our current rates. We are in-network with a select few of the major insurance plans (Currently: Anthem, CareFirst/BCBS, and United/Optum). We are out-of-network and do not participate in other insurance plans. We will gather your insurance information prior to scheduling the initial intake assessment appointment to determine if we: 1) accept your insurance as an in-network provider (for direct billing), and if so, 2) to verify benefits, co-payments and deductibles. Co-payments (and in some cases, any unmet out of pocket deductibles) are billed shortly after the time service. For out-of-network services, we do not bill your insurance for services (we accept debit, credit and FSA cards). All clients will receive an invoice after each service through the client portal. You can use this invoice to request out-of-network reimbursement from insurers. We will also provide a Good Faith Estimate for services in accordance with the No Surprises Act. For all billing related questions, email: patientbilling@medofficemail.com
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Privacy Policies and HIPAA
Your therapeutic relationship is private. Information discussed in sessions will remain completely confidential (with some exceptions for safety and as required by a court order). You have the freedom to choose for yourself what information about your treatment that you wish to share or withhold from others. The Health Insurance Portability and Accountability Act (HIPAA) helps to safeguard your Protected Health Information (PHI). Click below for our Privacy Policies.
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