Policies and Procedures

Chart for Subsidized Fee Scale – Intake Appointments
Chart for Subsidized Fee Scale – Follow Up Appointments

Policy for Assigning Fees (Including using the Subsidized Fee Scale)

English Counseling Forms

BlueCross BlueShield Reimbursement Memo
Client Questionaire
Notice of Privacy Practices
Receipt of Notice of Privacy Practices Signature Form
Client Rights and Responsibilities

Documentos para el Cliente en Consejeria

Derechos y Deberes del Cliente
Cuestionario de Cliente
Noticia de Practica de Confidencialidad
Un Mensaje para Nuestros Clientes Referente a Nuestra Noticia de Práctica de Confidencialidad