Welcome! You're taking a courageous and responsible first step toward wellness. Every person who joins us is treated with compassion, respect, and empathy. We want you to feel wholeheartedly accepted and valued here. Our community deserves nothing less. Every person is capable of an extraordinary life and we are dedicated to helping you achieve your personal wellness goals toward fulfillment and self-empowerment. 😊🧠✨

Please be aware this form is fortified with encryption to ensure both security and full compliance with HIPAA regulations. At River Oaks Psychology, we are committed to treating your personal information with the highest level of respect and security. Our dedicated team employs state-of-the-art encryption protocols to ensure the confidentiality of your information.

After you submit this form, we'll contact you to schedule your first appointment!

Please answer the following questions about the person who will be receiving services (whether YOU or someone else as the patient).

If using health insurance, we will call your insurance to verify that your coverage is active and we'll try to get an estimate of what your insurance will pay for.

However, we are legally obligated to collect the "patient responsibility" amount listed on the claims once they are processed by your insurance company. This could potentially result in fee adjustments after the claims are processed.

it is ultimately your responsibility to know the details of your coverage. We will bill your insurance for your services here, but if your insurance fails to pay for your services, you are financially responsible. Therefore, we URGE you to fully understand your coverage.

For more information and tips for how to contact your insurance, please visit: https://riveroakspsychology.com/insurance-responsibility

Please call the number listed on your insurance card(s) to ask your insurance questions about whether telehealth therapy visits are covered and to ask about your deductible, copays, and other details.  Thank you!

💊 Medication Costs at the Pharmacy:  It’s also important to note that the cost of medications at your pharmacy is separate from our services. Each insurance plan has different pricing for prescriptions, and we are not able to control or estimate those costs. Your pharmacy or insurance provider will be able to give you the most accurate information regarding medication pricing.