Please complete the following paperwork for your initial counseling session. Once completed on your computer (or printed and filled out by hand), you can either bring them with you to the first appointment, or you can upload them securely to us by using this encrypted form. Please also include a scan or picture of your insurance card, too.
If you are age 18 and over, please complete the (1) Adult Cover Sheet, (2) Adult Data Sheet, (3) Informed Consent, (4) Notice of Privacy Practices, and (5) Email Consent. You can also download this optional Credit Card Authorization Form, if we will be billing your insurance company.
If you are completing paperwork for your child or teenager (age 17 and below) or younger child, please complete the (1) Child Cover Sheet, (2) Child Data Sheet, (3) Informed Consent, (4) Notice of Privacy Practices, and (5) Email Consent. You can also download this optional Credit Card Authorization Form, if we will be billing your insurance company.
Please note that it is our recommendation for you to call your insurance company to verify your own benefits, coverage, and mental health eligibility. Use the customer service number on the back of your card and tell them that you would like to see a therapist at Advocate Psychotherapy Services in Stevens Point, Wisconsin. Then give the name of the therapist you desire to see to check if he or she is in your network. With this information, they will be able to confirm if you need prior authorization, or not, and tell you if services can be covered. Feel free to call APS if you have any questions at all.