Service Order Form

Intake and AssessmentComprehensive Clinical Interview with Therapist 1.5 - 2 hours

$150.00

  

Psychiatric EvaluationComprehensive Clinical Interview with psychiatrist that may include prescription 1.5 - 2 hours

$200.00

  

Medication Evaluation - 30 MinutesMedication Evaluation is the reconciliation and review of meds to ensure no unsafe interactions or drug practices.

$150.00

  

Medication Management- 25 Minutes Medication Management is the prescription, administration, and review of medications.

$110.00

  

Medication Management - 15 MinutesMedication Management is the prescription, administration, and review of medications

$90.00

  

Outpatient Therapy - 1 HourSHYAS provides individual & family therapy to help you mange the challenges of life and address mental health and substance use symptoms.

$120.00

  

Outpatient Therapy - 30 Minutes SHYAS provides individual & family therapy to help you mange the challenges of life and address mental health and substance use symptoms.

$75.00

  

Outpatient Therapy Group Group therapy is used to address a specific mental health and/or substance use concern with peer support. It is the most effective form of treatment.

$60.00

  

In Home Therapy - 1 HourTherapy provided to youth and/or adults in their home or private community-based setting is In-Home therapy.

$150.00

  

DWI - Intake and AssessmentEach DWI infraction requires an assessment. A DWI assessment is only good for 6 months. Please note you must follow through with the treatment recommendations within 6 months or you must pay for another assessment.

$100.00

  

DWI - DMV RecordMust accompany assessment to determine the number of assessments you must pay for. Each DWI or DWLR infraction with an * beside it is equivalent to 1 assessment/$100.00. Please Note: we do not count the infraction with an * if it is duplicated on the record.

$15.00

  

DWI - 20 hour Short Term 2 hours per class 2 days per week for 5 weeks Can not complete prior to 30 days

$350.00

  

DWI - 40 Longer Termcan not complete prior to 60 days 2hrs per class 2 days per week for 2 months

$600.00

  

DWI - IOP Substance Abuse Intensive Outpatient Program 3hours 3 days a week for 3 months

$2,000.00

  

DWI Treatment ReviewIf you do not complete pay to complete services with SHYAS DWI Program. You completed treatment with a different program and you provide proof of successful completion and negative urine drug screens.

$75.00

  

SACOTSubstance Abuse Comprehensive Outpatient Treatment 4hours a day 5 days a week for 4 months substance use partial hospitalization 120 day treatment

$4,000.00

  

ADETSADETS - Alcohol & Drug Traffic School 16 hour substance use prevention and education Prime for Life Curriculum. Must purchase the book.

$160.00

  

ADETS Work BookPrime For Life Work Book must add $5.00 for shipping and handling pick up from the office is available

$25.00