Forms needed at initial session
Prior to coming in for your first session, please print, read and complete the
Feel free to print other forms (below) if you believe they may be needed.
- Intake Form
- Informed Consent Form
- Authorization to Release Confidential Information
- Parental Consent Form
Important note about Insurance
Jonathan does not accept insurance, except Value Options. If you have Ambetter Superior insurance, in spite of their provider directory, I have not been a provider for them in years. I am working again to be removed from their list, but I do not accept their insurance. It is your responsibility to contact your mental health insurance company and verify your benefits
It is your responsibility to contact your mental health insurance company and verify your benefits BEFORE coming to your first appointment (again, other than Value Options, I do not accept any insurance, even if they say I am in network. Should you have another plan that says I am in network, please let me know and I will contact them to fix the problem). While rare, there are cases where Value Options answers phone calls for anther insurance company that is actually your mental health insurance provider; in this case, even though Value Options answers the phone, they do not administer the mental health benefits, and Jonathan would not be a covered in-network provider. Be certain that Jonathan is considered In-Network; be sure they actually look Jonathan up in their computer system. If he is not In-network, you will be responsible for the full session fee.