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 Prepare for Your First Session 

  • Remember to text or email Cailin a picture of the front and back of your insurance card if you will be using insurance 

  • Look out for email to create a Therapy Portal Login

  • Make login to complete the following paperwork

    • Informed Consent ​

    • HIPAA

    • Credit Card Authorization 

    • History Form

    • Client Contacts Form

    • Client Information Form

    • GAD-7

    • PHQ-9

    • Notice of Privacy Practices 

    • Client Insurance Form 

  • Download and complete intake form

    • Either email completed form or bring completed to first session

Adolescent 
Intake Form

Adult Intake Form

*Please fill out appropriate intake form and return it to Cailin via email prior to your first appointment, or upon arriving to your first session with Cailin. 

     You have the right to receive a Good Faith Estimate” explaining how much your medical and mental health care will cost. Under the law, health care providers need to give patients who don’t have insurance or who are not using insurance an estimate of the expected charges for medical services, including psychotherapy services.

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     You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency healthcare services, including psychotherapy services. You can ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule a service. If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill. Make sure to save a copy or picture of your Good Faith Estimate.

 

     For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises. 

Good Faith Policy

Informed
Consent 

HIPAA

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