PLEASE NOTE:
If you are using insurance there will be a conversation at your first session regarding this. Please come prepared to answer the following:- Do I have mental health insurance benefits?
- Is my therapist “in network?”
- What is my deductible and has it been met?
- How many sessions per year does my health insurance cover?
- What is the coverage amount per therapy session?
- Is approval required from my primary care physician?
Intake Paperwork Packet:
**Instructions**
- Please click on the name of the clinician you will be seeing
- Fill out the forms
- Save the forms
- Email your clinician and send the forms via attachment
Tracey Ayers
Email: tayers@btid.com
Email: cpitte@btid.com
Email: docpsyd@earthlink.net
Email: mwine@btid.com
Email: bpruet@btid.com
Larry Nelson
Email: LNelson@btid.com
Other Forms
Your therapist may request that you download these additional forms:
E-Mail Consent Form
Consent to Treat Minor (15yrs and younger)-Tracey Ayers
These documents do not need to be printed off. They are available for you to read at your convenience.
- Social Media Policy
- Patient Rights
- Privacy Policies (Federal regulations require that all mental health professionals post their privacy policies)
- HIPAA/HITECH (compliance checklist)
Note: To download Adobe Acrobat Reader for free, click here.
