• Finding the Right Therapist For You

    Please complete this secure form to help assist find the right therapist for you based on your individual needs. After completing this form, we will contact you within one business day.
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    Pick a Date
  • Couples Counseling

    If you are not seeking couples counseling, you can skip this section and submit the form.
  • Payment Options (Insurance)

    If you are not using insurance you can skip to the next section.
  • At the Austin Mindfulness Center, we have a number of payment options. If you would like to use insurance, the list below indicates all of the insurances that we currently accept. Please be aware that sometimes our therapists who take insurance do not have openings. In that case, you might consider paying out-of-pocket (see below). We can provide you with a superbill to submit to your insurance for out-of-network reimbursement. Please check with your insurance for details about your benefits. Each insurance has specific plans and we may not be in-network with a specific plan within the insurance (HMO, Health Select, Magellan, Medicare, Medicaid, etc). 

  • Primary Subscriber Information

    If you are not the Primary Subscriber, please provide additional information about the Primary Subscriber so that we can confirm coverage.
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    Pick a Date
  • Payment Options (Out-of-Pocket)

    If you are using insurance you can skip to the next section.
  • You're almost done!

  • Suggested Frequency: Please keep in mind we highly suggest a minimum of six sessions when starting therapy, along with a regular weekly commitment. This will contribute to building a trustful relationship with your therapist and prioritizing your process of healing and growth.

  • Good Faith Estimate

    One final formality and then we're done!
  • The Good Faith Estimate is a mandate implemented January 1, 2022 by the Federal Government. Under the law, health care providers need to give patients who don’t have insurance or who are not using insurance an estimate of the bill for medical items and services to prevent "surprise" medical billing and has been applied to all medical providers and facilities. It "forces" medical providers to list fees clearly to clients.

    Austin Mindfulness Center has always provided transparency in our billing practices by displaying our fees on the website.

    Your review of this form and signature is required so that we can demonstrate our compliance with the mandate. Thank you!

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