Every insurance plan is different, and it is your responsibility to find out if you are covered.

the information below can help you determine what is covered:

1. You can confirm that we are a provider for your specific plan by calling the number on the back of your card. Ensure that our office is listed by your plan as an in-network provider (use Tax ID# 27-1334595). 

2. To determine your out-of-pocket cost, ask whether or not you will owe a copayment, or whether or not you have a deductible plan. If they require a procedure code please use the following 90834. This code is considered an outpatient session for mental health in an office setting.  

3. If you are a CCF employee, we are not a provider.

4. If you are a UH employee, we are not a provider.

5. We do not accept EAP’s despite the fact that some insurance companies have us listed as a provider.

Click here to read the full details of YOUR HEALTHCARE RESPONSIBILITY

FORMS

To Submit Forms:
Form submission is not available through the mobile site. Use the desktop version to complete forms.
1) Click the form, it will open in a new browser window.
2) Fill out the form in the browser.
3) Save the filled form to your desktop. 
4) Attach and send the form to the email link below.