CLIENTS Forms & Links

Forms and Links

Download forms by clicking links below:

Please Print Single Sided For Charting Purposes

 

* Credit Card Authorization Form is for all payments after EAP's and/or copay and any patient responsibility

* Please verify your insurance information before booking an appointment:

-Any copays or coinsurance you may have

-Your deductible

-If you have any preauthorizations

-Coverage for individual and/or family sessions

*Payment will be required at time of visit

Credit Card Authorization Form

Kathy Green, MA, LCPC Counseling Services 4696 W Overland, Suite 214, Boise, Idaho 83705

 

 

© 2015 Kathy Green MA, LCPC