Forms and Insurance

Forms

The following forms are provided at your convenience and can be downloaded online. If requested by your counselor, please print and fill them out upon attending your first appointment.

• Adult Forms

• Telehealth Consent

Accepted Insurance

Clinical Counselors, PA is a fee-for-service practice and an out-of-network provider. Reimbursement may be available to you by your health insurance company or employee benefit plan. Some questions to ask your insurance company to determine your out of pocket expense:

• Do I have out of network, outpatient, mental health benefits?

• What is my deductible?

• What is my coinsurance?