sabrina d. raibon, BS, MA, CLC

 

INTAKE FORMS

 

The initial session in which someone begins counseling/coaching is called the intake session. During this session I will gather basic background and contact information, explain privacy and confidentiality and their limits, walk you through the progressive process of faith-based-biblical therapy, how we can work together to best meet your unique needs.

 

In order to streamline this process please print, read through, and fill out one of the PDF Forms below and bring it with you. If you are coming in as a couple, each person fills out his/her own form. If you are unable to complete your intake forms ahead of time or forget to bring them, you will need to arrive at least 15 minutes early. Extra forms will be available when you arrive. 

 

You will need Adobe Reader to view & print these documents.  It's FREE and you can get it here....https://get.adobe.com/reader/

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methods of payment accepted

 

VISA, MC, AMEX, DISCOVER, CASH, CASHIER'S CHECKS AND MONEY ORDERS - NO PERSONAL CHECKS.

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DONATIONS ONLY for all mental health clients, military veterans, human services consults and discipleship counseling. 

 

*** INSURANCE***

Insurance claims/payments are not being processed or accepted at this time.

However, if you are having financial difficulties...special payment arrangements may be made on a case by case basis.

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