FORMS

Prior to your initial appointment:
Please review and complete our New Client Form, HIPAA Privacy Notice, and Client Informed Consent 
(found below) and bring them with you to your first appointment.
If you so choose to automatically make payments (co-pay, deductible co-pay, or out of pocket fee)
please fill out Electronic Payment Authorization form.
We suggest calling the member services number on the back of your insurance card to verify your mental health (also called behavioral health) coverage and benefits. Some companies require prior authorization to cover sessions. To avoid paying full service fees that would normally be covered by your insurance, verify benefits beforehand. 


If the client in a minor, a parent or guardian will be responsible for all necessary paper work

and any additional release forms.

Forms are currently unavailable online, we will inform you of our paperless new client procedure when you schedule your first appointment. 
For current clients who have previously logged in to our portal, you may upload documents by clicking 'Log In' and entering your user name and password. 

© 2020 Cedar Valley Counseling Services