Insurance Information


Given our strong belief in the privacy of the therapeutic relationship, we are an out-of-network provider only.  We accept all insurance as long as you have out-of-network coverage. You pay us and are then reimbursed by your insurance company.  The four questions you would need to ask your insurance company to determine exactly how much you would be reimbursed are:

  • What is my coverage for out-of-network Licensed Clinical Social Workers using CPT Code 90834?

  • Is my coverage a percentage of what is considered a customary fee or is it of the actual fee?

  • Do I have a calendar year deductible?

  • ​Is there a limit on my number of sessions per calendar year?

 

Forms


Prior to your first visit, please print and complete these forms. You can either scan them and return them by email, mail them, or bring them along to your first visit: ​

Client Intake Form

Connecticut HIPPA Notice (for your records only)

HIPPA Acknowledgement Form

Good-Faith Estimate