Let’s get started!

All of the information you disclose is protected by HIPAA and will remain confidentail. You can use a smartphone, tablet, or computer to fill this out. 

We make every effort to respond as soon as possible. However, if you contact us after-hours, over the weekend, or on a holiday, our follow-up may be delayed.

If you need urgent support, click here to head over to our website for a list of services that are available 24/7.

Next, we'd like to understand what brings you to us. 

How do you plan to pay for our services?

Do you intend to use your health insurance or do you prefer to pay out of pocket?

If you want to use insurance, keep in mind:

- Insurance will only pay for services in cases where symptoms meet criteria for a qualifying mental health diagnosis, whether or not they cause significant suffering.

- Insurance companies often place restrictions on the type or amount of therapy that can be provided.

- Your health records are not private when going through insurance. If you choose to use your health insurance, you agree to allow claims adjustors to audit your complete record any time they want.

- In the event that congress or the courts repeal protections for patients with pre-existing conditions, your mental health diagnosis could be used as a pre-existing condition to deny payment for future services.

By disclosing your insurance information, you authorize Medens Health to verify your mental health eligibility and benefits, including any copay and/or deductible. Results are typically available in one to two business days.

Each provider has different circumstances when it comes to insurance. Some don’t accept insurance, some accept a few plans, and some accept many.

If you have specific questions regarding your mental health benefits, please contact your healh plan directly.