• Initial Evaluation

  50-60 minute session aimed at identifying your major challenges and developing a plan for solutions.
  

• Cognitive Fitness Evaluation

  Typically a two-three hour testing process looking at how efficiently your brain is working. Explores memory, concentration, language skills, reasoning, visual skills, and cognitive flexibility.
  

• Memory Health Fitness Screen

  A 30-60 minute survey of your memory health and mental fitness.
  

• Psychological Fitness Evaluation

  Typically a 1-2 hour test which helps to identify areas of psychological struggle. Requires an initial evaluation.
  

• 45-50 minute individual session

  These sessions are aimed at exploring problem areas, expanding your awareness of the solutions, and helping you to put your practice plan into motion. This is where the change begins.
  

• 45-50 minute individual session

  
  

• 25-30 minute individual session

  These sessions are aimed at helping you to stay on course. We will devise a follow-up plan that works for you.
  

• Groups

  A chance to solidify lessons learned in individual therapy through connection and discussion with others.
  

• Workshops

  60min-3hr educational classes on living and aging well.
  

This the complete form package for new patients. Please have all completed forms in our office one week prior to your first appointment.

This form covers my financial policies for self-pay patients as well as Medicare and Blue Cross Blue Shield patients. Please be certain that you understand our billing policies prior to making your first appointment.

This form allows me to communicate with your physicians, so that I can coordinate your care effectively. You will need to fill out a separate form for each physician that you’d like us to communicate with.

This form lets me know who you are. Please fill this out completely. In Section 1, please be sure to include your email address if you would like for us to send you email reminders about your appointments; we promise that we will NOT send any unwanted “SPAM” emails. Only fill out Section 2 or 3 if you are a Blue Cross Blue Shield patient, otherwise there is no need for you to fill out any insurance information.

These forms let you tell me about your current medical issues and treatments.

This form tells you a little bit about who I am, the pros and cons of therapy and the limits of confidentiality.

I am out-of-network providers for all insurance companies, except Blue Cross. I will provide you with invoices that you can submit to your insurance carrier for out-of-network reimbursement or for your health-care flexible spending account reimbursement. If you have Blue Cross, we will bill for you. All patients, other than those with Blue Cross, will be asked to pay by credit card at time of service and will be reimbursed directly by their insurance carriers according to their carrier’s policies. We have compiled a tip sheet to help you navigate your insurance reimbursement process. Our fees closely match most insurance company reimbursement rates. I believe you will see that the psychological services you obtain will be worth your reimbursement efforts.

Intuitive Psychology, PLC is not a contracted Medicare provider. Medicare patients can be seen on a fee for service basis, but due to Medicare regulations, will NOT be able to obtain reimbursement by Medicare.

Patients are responsible for payment of missed or canceled appointments with less than 24 hour notice for the full contracted rate of their appointment. Insurance plans do not cover missed or canceled appointments.