Watch Movie Online The Fate of the Furious (2017)
Please call 331-444-2342 to set up an appointment. If you reach my voicemail, I am either busy with a client or out of the office. Please leave a detailed voicemail and I will return your call promptly.
To assist in understanding your background and needs, I ask that you complete the following form.
Client Background and Insurance Form
During your initial sessions, I will gather your history, evaluate your concerns, and create a treatment plan.
Sessions are typically once a week and last 50-55 minutes per session. The number of sessions will be determined by your progress toward meeting your goals.
If you are unable to keep your appointment, please be sure to give 48-hour notice to avoid a missed session fee of $150.
Billing / Insurance
Currently I accept the following insurance plan:
- BlueCross BlueShield PPO
I am in process of being covered by the following insurances/EAPs:
If you should choose to begin treatment at Banks Therapy and are not covered by Blue Cross/Blue Shield of Illinois PPO, you will need to submit to your insurance company directly, seeking out-of-network benefits to cover your appointments. Insurance companies vary a great deal in terms of covered amounts for out-of-network services. Please consult your insurance directly regarding this. Full payment will be expected at the time of service. Documentation will be provided, allowing you to submit claims for direct reimbursement.
Confidentiality is extremely important to me; I adhere to all ethical and government standards. Click Here for our Notice of Privacy Practices.
Your information and what is discussed in session will be kept between you and myself. In your first session, any limits to confidentiality will be explained.