Schedule an appointment!
307-399-5295
Home
About
Our Services
Getting Started
Faqs
Contact Us
Search Site
Getting Started
Forms to Fill Out
Download and fill out the Intake Forms before your first appointment.
Patient Intake Forms
Questions to ask your insurance company:
Do I have Out of Network Mental Health benefits in my plan?
Do I have a deductible; if so, how much is it?
Can it be combined with my medical deductible in order to meet it?
How much of it have I met so far?
What is the percentage that my insurance pays?
What is the percentage that is my copay?
How many visits are allowed per calendar year?
Do I need to be pre-certified or pre-authorized (call before being seen by counselor)?
If so, how many visits allowed before I have to call again?
What address does Grace Counseling use to send out-of-network Mental Health Claims? (street address, city, state, and zip)
What is my insurance company’s Payer ID number for electronic claim submission by Grace Counseling?
Effective date of my policy:
Is my policy on a calendar or anniversary year?